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 selfcare 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?