The nurse notes a difference in systolic blood pressure readings between the client's arms. How will the nurse approach subsequent readings based upon this difference in blood pressures?

A) The nurse will use the arm with the highest reading.
B) The nurse will use the arm with the lowest reading.
C) The nurse will average the two blood pressures and document this average.
D) The nurse will obtain a blood pressure on the client's leg.


Ans: A
An initial nursing assessment should include blood pressure assessments on both arms. It is normal to have a 5- to 10-mm Hg difference in the systolic reading between arms. Use the arm with the higher reading for subsequent pressures.

Nursing

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