Blood Pressure Measurement:
Blood Pressure Measurement: ( 5 Questions)
A nurse is assessing a client's blood pressure and finds it to be different in the two arms. What action should the nurse take?
Documenting the finding as a normal variation would be inappropriate since it may indicate an underlying vascular or arterial issue.
Rechecking the blood pressure using the arm with the higher reading may be considered, but reporting the findings to the healthcare provider is the priority for further evaluation.
A significant difference in blood pressure readings between the two arms may indicate an underlying vascular or arterial problem. The nurse should report the findings to the healthcare provider for further evaluation and intervention.
Instructing the client to raise both arms above the head is not necessary and does not address the potential underlying issue with blood pressure readings in different arms.
Answer: c. Report the findings to the healthcare provider. Explanation: A significant difference in blood pressure readings between the two arms may indicate an underlying vascular or arterial problem. The nurse should report the findings to the healthcare provider for further evaluation and intervention.
a. Documenting the finding as a normal variation would be inappropriate since it may indicate an underlying vascular or arterial issue.
b. Rechecking the blood pressure using the arm with the higher reading may be considered, but reporting the findings to the healthcare provider is the priority for further evaluation.
d. Instructing the client to raise both arms above the head is not necessary and does not address the potential underlying issue with blood pressure readings in different arms.