Blood Pressure Measurement:
Blood Pressure Measurement: ( 5 Questions)
A nurse is assessing a client's blood pressure and finds it to be 90/60 mmHg. What action should the nurse take?
A blood pressure reading of 90/60 mmHg is within the normal range for some individuals, especially those with low-normal blood pressure. The nurse should document the blood pressure as normal and consider the client's overall health and clinical condition.
Rechecking the blood pressure after 1 hour is not necessary unless there are specific concerns or symptoms indicating a need for further assessment.
Initiating intravenous fluid therapy is not indicated solely based on a blood pressure reading within the normal range.
Administering a vasopressor medication is not appropriate based solely on a blood pressure reading within the normal range.
Answer: a. Document the blood pressure as normal.
Explanation: A blood pressure reading of 90/60 mmHg is within the normal range for some individuals, especially those with low-normal blood pressure. The nurse should document the blood pressure as normal and consider the client's overall health and clinical condition.
b. Rechecking the blood pressure after 1 hour is not necessary unless there are specific concerns or symptoms indicating a need for further assessment.
c. Initiating intravenous fluid therapy is not indicated solely based on a blood pressure reading within the normal range.
d. Administering a vasopressor medication is not appropriate based solely on a blood pressure reading within the normal range.