1. A client who is unstable and requires frequent vital signs has an electronic blood pressure

machine automatically measuring his blood pressure every 15 min. However, the

machine is reading the client’s blood pressure at more frequent intervals, and the readings

are not similar. The nurse checks the machine settings and observes the additional

readings, but the problem continues. Which of the following is the appropriate nursing

action?

--> Disconnect the machine, and measure the blood pressure manually every 15 min.

2. A nurse is caring for a client just diagnosed with type 1 diabetes mellitus. The client is

resistant to learning self-injection of insulin and asks the nurse to administer all the

injections. The nurse explains the importance of learning self-care and appropriately adds

which of the following statements?

 Tell me what I can do to help you overcome your fear of giving yourself injections.

3. An assistive personnel says to the nurse, “This client is incontinent of stool three or four

times a day. I get angry, and I think that the client is doing it just to get attention. I think

we should put adult diapers on her.” Which is the appropriate nursing response?