NORCET 2 -2021 (Shift-2)
Nursing Foundation
Easy

A patient's blood pressure is 160/80 mm hg then what is the pulse pressure of the patient?

Appeared in: NORCET 2 -2021 (Shift-2)

Explanation

  • Pulse pressure is defined as the difference between the systolic blood pressure (the top number) and the diastolic blood pressure (the bottom number).
  • The formula is: Pulse Pressure = Systolic BP – Diastolic BP.
  • For a blood pressure of 160/80 mm Hg, the calculation is 160 mm Hg - 80 mm Hg = 80 mm Hg.
  • A pulse pressure of 80 mm Hg is considered widened or high, as the normal range is typically 40-60 mm Hg.

Why Other Options Were Wrong

  • Option A: This is an incorrect calculation. 160 minus 80 is 80, not 60.
  • Option B: This is an incorrect calculation. This value would result from subtracting 60 from 160, not 80.
  • Option D: This is an incorrect calculation. This value represents the diastolic pressure in this scenario, not the pulse pressure. The unit 'm hg' is also incorrect.

Related Visual

Visual explanation — Related Visual
  • Visual 1: Diagram: Illustrating how to calculate pulse pressure from a blood pressure reading (Systolic - Diastolic = Pulse Pressure).
  • Visual 2: Chart: Showing normal, narrow, and wide pulse pressure ranges and their potential causes.
Clinical Relevance
  • Nursing practice connection: Knowing Calculation of pulse pressure from a blood pressure reading helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
  • Monitoring pulse pressure is crucial as it reflects arterial stiffness and cardiovascular risk. A consistently high pulse pressure (greater than 60 mm Hg) can indicate conditions like atherosclerosis, aortic regurgitation, or other cardiovascular issues.
  • Nurses must accurately calculate and interpret pulse pressure to identify patients at risk and report significant changes to the healthcare provider.
  • What if? If the patient's blood pressure was 110/90 mm Hg, the pulse pressure would be 20 mm Hg. This is a narrow pulse pressure, which can be a sign of decreased cardiac output, as seen in conditions like heart failure or shock.
How to Approach the Question
  • First, identify the values given in the question: Systolic BP = 160 mm Hg and Diastolic BP = 80 mm Hg.
  • Recall the formula for calculating pulse pressure: Pulse Pressure = Systolic Blood Pressure - Diastolic Blood Pressure.
  • Substitute the given values into the formula: 160 - 80.
  • Perform the subtraction to find the result: 80 mm Hg.
  • Compare the calculated result with the given options to find the correct answer.
Concept Tested & Keywords
  • Concept Tested: Calculation of pulse pressure from a blood pressure reading.
  • Stem keywords: blood pressure, 160/80 mm hg, pulse pressure
  • Lead-in keywords: what is
  • Clinical cues: Blood pressure: 160/80 mm Hg - Indicates Stage 2 Hypertension.
  • Negative lead-in flag: false

Question ID

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