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The Nursing Assistant Informs the Nurse That the Patient's Blood

Question 24

Multiple Choice

The nursing assistant informs the nurse that the patient's blood pressure is 220/102 using the electronic monitor.What is the priority action of the nurse?


A) Perform a neurological assessment to determine if the patient is stressed,in pain,or having a stroke.
B) Inform the patient's health care provider immediately to obtain an order for antihypertensive medication.
C) Instruct the nursing assistant to take the patient's blood pressure again and inform the nurse of the results immediately.
D) Take the patient's blood pressure manually with a sphygmomanometer and stethoscope.

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