While auscultating an adult blood pressure, the first clear tapping sound is heard at 142 mmHg and the sounds disappear at 86 mmHg. How should the nurse record the pressure?
Correct answer: A. 142/86 mmHg
- A. 142/86 mmHg
- B. 86/142 mmHg
- C. 142/142 mmHg
- D. 86/86 mmHg
Explanation
The first Korotkoff sound represents systolic pressure, and the disappearance of the sounds represents diastolic pressure. Therefore, the reading is recorded as 142/86 mmHg, with systolic pressure written first.
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About Vital Signs and Monitoring
Vital signs include temperature, pulse, respiration, blood pressure, oxygen saturation and pain assessment. Coverage includes correct measurement sites and techniques, normal adult ranges, factors that alter readings, trends in patient observations, and the difference between an abnormal finding that needs reassessment and one requiring immediate reporting.
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