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    Hesi lpn exit proctored examQuestion 92
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    Hesi lpn exit proctored exam

    The practical nurse (PN) is assessing a client's blood pressure using a manual sphygmomanometer on the left arm. In which sequence should the PN implement these actions? (Arrange from first action on top to last on the bottom.)

    Explanation & Rationale

    A. Release air from the cuff slowly: Air is released gradually (2–3 mmHg per second) to allow accurate identification of Korotkoff sounds while preventing false readings. B. Position the blood pressure cuff: The PN first places the cuff snugly around the upper arm, ensuring it is at heart level and the artery marker aligns with the brachial artery for accurate measurement. C. Pump the cuff while palpating the pulse: The PN inflates the cuff until the radial pulse disappears to estimate systolic pressure, helping determine how high to inflate when taking the actual reading. D. Listen for the systolic pressure reading: The first clear tapping sound heard through the stethoscope indicates the systolic blood pressure — the pressure during ventricular contraction. E. Listen for the diastolic pressure reading: The disappearance of the sounds marks the diastolic pressure, representing the pressure during ventricular relaxation, which is recorded as the lower number in the BP reading.

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