A patient is recovering following a carotid endarterectomy. The blood pressure has risen this morning to 168/60. The nurse should do which of the following?
A) Recheck the blood pressure and make sure the correct size cuff was used.Then compare the trend of blood pressure readings and call the physician now.
B) Recheck the blood pressure every hour and report this change to the physician when he or she makes rounds the next time.
C) Record the blood pressure and find out who took this reading.Have that staff member demonstrate his or her blood pressure procedure and offer tips to obtain more accurate readings.
D) Check the standing orders and see if there is a medication ordered p.r.n.for lowering blood pressure.If so, administer it and document the action.
Correct Answer:
Verified
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