Blood Pressure Measurement:
Blood Pressure Measurement: ( 5 Questions)
A nurse is assessing a client's blood pressure and finds it to be 140/90 mmHg on multiple occasions. 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 1 week may delay appropriate intervention if the blood pressure remains elevated.
A blood pressure reading of 140/90 mmHg on multiple occasions indicates stage 1 hypertension. The nurse should initiate lifestyle modifications, such as diet changes, exercise, and stress reduction, and closely monitor the client's blood pressure. Antihypertensive medication may be considered if lifestyle modifications are not effective.
Administering anticoagulant medication is not indicated solely based on an elevated blood pressure reading.
Answer: c. Initiate lifestyle modifications and monitor blood pressure.
Explanation: A blood pressure reading of 140/90 mmHg on multiple occasions indicates stage 1 hypertension. The nurse should initiate lifestyle modifications, such as diet changes, exercise, and stress reduction, and closely monitor the client's blood pressure. Antihypertensive medication may be considered if lifestyle modifications are not effective.
a. Documenting the blood pressure as normal would be inaccurate since it exceeds the normal range.
b. Rechecking the blood pressure after 1 week may delay appropriate intervention if the blood pressure remains elevated.
d. Administering anticoagulant medication is not indicated solely based on an elevated blood pressure reading.