Question

1. The nurse measures the client’s blood pressure (BP) and notes that it is significantly higher than the previous reading. What should the nurse do next? select all that apply.
   1. Retake the clients blood pressure in the opposite arm
   2. Ask another nurse to assist in assessing for an apical-radial pulse deficit
   3. Assign the unlicensed assistive personal to recheck the BP in an hour
   4. Immediately take 2 more reading on the same arm
   5. Determine the client’s activity and feelings prior to the BP measurement

Answer 1

ANSWER - A, C, E

Blood pressure is the pressure that forces blood to circulate against the walls of arteries.

The normal blood pressure ranges from 90-120 diastolic pressure.

If the nurse sees that client's BP is higher than the previous reading than the nurse should do -

1. Retake the BP of client in opposite arm
2. Assign assistive personal to recheck BP in an hour
3. Know the client's activity before the check up of blood pressure.

So, the correct options are A, C and E

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