Difficulty: Medium
Average Score: 65%
Simulated
A nurse is observing an assistive personnel (AP) measure blood pressures from the right arms of a group of clients. The nurse should instruct the AP to measure the blood pressure in the left arm of which of the following clients?
Correct answer
B
Rationale
The correct answer is B. When a client has a peripherally inserted central catheter (PICC) in the right arm, it is crucial to avoid measuring blood pressure on that arm to prevent damaging the catheter or disrupting its function. The left arm is the recommended site for blood pressure measurement in this scenario to ensure accurate readings and maintain the integrity of the PICC line.
Choice A is incorrect because having blood drawn from the right antecubital area does not necessitate avoiding blood pressure measurement in that arm. Choice C is incorrect as the arteriovenous shunt in the left lower forearm does not impact the blood pressure measurement in the right arm. Choice D is irrelevant to the selection of the arm for blood pressure measurement.
Choice A is incorrect because having blood drawn from the right antecubital area does not necessitate avoiding blood pressure measurement in that arm. Choice C is incorrect as the arteriovenous shunt in the left lower forearm does not impact the blood pressure measurement in the right arm. Choice D is irrelevant to the selection of the arm for blood pressure measurement.