A nurse checks a patient's vital signs in the hospital and notes a blood pressure of 146/98 mm Hg. What will the nurse do?
a. Instruct the patient to consume a low-sodium diet.
b. Prepare the patient for an electrocardiogram and blood tests.
c. Recheck the patient's blood pressure in the other arm.
d. Request an order for a thiazide diuretic.
ANS: C
Diagnosis of hypertension should be based on several blood pressure readings, not just one. High readings should be confirmed in the contralateral arm. Low-sodium diets are indicated for patients with confirmed hypertension. An electrocardiogram and blood tests are indicated for patients with confirmed hypertension to rule out primary causes. Thiazide diuretics are first-line drugs for confirmed hypertension.
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