The nursing assistive personnel (NAP) is taking vital signs and reports that a patient's blood pressure is abnormally low. What should the nurse do next?
a. Ask the NAP retake the blood pressure.
b. Instruct the NAP to assess the patient's other vital signs.
c. Disregard the report and have it rechecked at the next scheduled time.
d. Retake the blood pressure personally and assess the patient's condition.
ANS: D
The nursing assistive personnel should report abnormalities to the nurse, who should further assess the patient. The nursing assistive personnel should not retake the blood pressure or other vital signs because the nurse needs to assess the patient. The report cannot be disregarded. Assessment must be done by the nurse.
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