Question

Which of the following interventions should the nurse implement?

Select all that apply.
a)Raise the knee position on the client's bed.
b)Use an automated blood pressure cuff on the client's arm.
c)Administer IV fluids.
d)Prepare for platelet transfusion.
e)Assess the client's mouth every 8 hr.
f)Assess peripheral circulation hourly.
g)Use humidification with oxygen therapy.

Answer 1

Use of an automated blood pressure cuff, administering IV fluids, and assessing peripheral circulation hourly are appropriate interventions for a nurse to implement when managing a patient with low blood pressure or potential circulatory issues.

Step-by-step explanation:

The intervention options presented for a nurse to implement suggest that the patient may be experiencing a medical condition that requires careful management of blood pressure and circulation, monitoring of fluid balance, and prevention of complications. The use of an automated blood pressure cuff on the client's arm is a standard procedure to monitor blood pressure and ensure that it stays within a safe range. This is crucial for a patient with low blood pressure, as it provides ongoing assessment and can help detect if the patient's condition is worsening. An automated cuff simplifies this process as it can take measurements regularly without needing manual intervention each time.

Administering IV fluids is typically done to help increase blood volume and support blood pressure, which is often necessary in cases of hypotension or dehydration. Monitoring and managing fluid intake is a critical part of treatment for patients with unstable blood pressures.

Assessing peripheral circulation hourly is essential to ensure that blood is effectively reaching all parts of the body, which is particularly important for patients with circulatory issues or compromised blood flow. This can provide early signs of complications and allow for prompt intervention.