Blood Pressure Measurement:
Blood Pressure Measurement: ( 5 Questions)
A nurse is assessing a client's blood pressure and finds it to be 160/90 mmHg. What action should the nurse take?
Documenting the blood pressure as normal would be inaccurate since it exceeds the normal range.
Rechecking the blood pressure after 30 minutes may delay appropriate intervention if the blood pressure remains elevated.
A blood pressure reading of 160/90 mmHg indicates hypertension (high blood pressure). The nurse should initiate antihypertensive medication and implement other interventions as appropriate to manage and control blood pressure.
Instructing the client to increase salt intake is not appropriate for managing hypertension, as sodium intake can exacerbate high blood pressure.
Answer: c. Initiate antihypertensive medication.
Explanation: A blood pressure reading of 160/90 mmHg indicates hypertension (high blood pressure). The nurse should initiate antihypertensive medication and implement other interventions as appropriate to manage and control blood pressure.
a. Documenting the blood pressure as normal would be inaccurate since it exceeds the normal range.
b. Rechecking the blood pressure after 30 minutes may delay appropriate intervention if the blood pressure remains elevated.
d. Instructing the client to increase salt intake is not appropriate for managing hypertension, as sodium intake can exacerbate high blood pressure.