The nurse is measuring the blood pressure of a 12-year-old boy with an oscillometric device. The boy's reading is greater than the 90th percentile for gender and height. What is the appropriate nursing action?
A) Repeat the reading with the oscillometric device.
B) Repeat the blood pressure reading using auscultation.
C) Measure the blood pressure in all four extremities.
D) Measure the blood pressure with a Doppler.
B
Response:
The nurse should repeat the reading using auscultation. The nurse should not use the Doppler ultrasound method in this circumstance. The nurse would measure the blood pressure in all four extremities in a child presenting with cardiac complaints.
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