Conclusion
Conclusion ( 9 Questions)
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During a physical assessment, the nurse observes that a client's blood pressure is 160/100 mmHg. What action should the nurse take?
Rechecking the blood pressure with a different cuff size may be appropriate if the initial reading was inaccurate, but it does not address the elevated blood pressure result.
Documenting the finding is important, but further action is required for elevated blood pressure.
Administering antihypertensive medication without consulting the provider is not appropriate; medication decisions should be made by the healthcare provider.
A blood pressure reading of 160/100 mmHg indicates hypertension and requires further evaluation by the healthcare provider to determine appropriate management.
Answer: d. Notify the healthcare provider of the elevated blood pressure.
Explanation: A blood pressure reading of 160/100 mmHg indicates hypertension and requires further evaluation by the healthcare provider to determine appropriate management.
a. Rechecking the blood pressure with a different cuff size may be appropriate if the initial reading was inaccurate, but it does not address the elevated blood pressure result.
b. Documenting the finding is important, but further action is required for elevated blood pressure.
c. Administering antihypertensive medication without consulting the provider is not appropriate; medication decisions should be made by the healthcare provider.