2. A nurse is caring for a client who has a surgical wound. Which of the following laboratory

values places the client at risk for poor wound healing?

a. Serum albumin 3 g/dL

b. Total lymphocyte count 2400 mm3

c. HCT 42%

d. HGB 16g/dL

 Rationale: Albumin in low. Normal range is 3.5 to 5.5 g/dL. Low albumin places the client at risk

forpoor wound healing. The other lab values are within normal limits.

8. A nurse is preparing to check a client's blood pressure. Which of the following actions should

the nurse take? Chapter 27 Vitals signs page 244

a. Apply the cuff above the client’s antecubital fossa.

b. Use a cuff with a width that is about 60% of the client's arm circumference. - width of the

cuff should be 40 % of arm circumference

c. How the clients sit with his arm resting above the level of his heart. - MUST BE AT

HEART LEVEL

d. Release the pressure on the client's arm 5 to 6 mm per second. - pressure release should

not be more than 2 to 3 mm hg per second

 Rationale: ATI FUNDA says 40% of the arm circumference pg. 139. Release the pressure no

faster than 2 to 3 mm Hg per second. Apply the BP cuff 2.5 cm (1 in) above the antecubital space

with the brachial artery in line with the marking on the cuff.Apply the BP cuff 2.5 cm (1 in) above

the antecubital space with the brachial artery in line with the marking on the cuff.