A nurse measures an older adult's blood pressure on the right arm and notes a reading of 150/100. The nurse waits 5 minutes and measures the blood pressure again in the right arm and obtains a reading of 152/100. What is the next action by the nurse?
a. Immediately contact the medical provider.
b. Measure the blood pressure in the left arm.
c. Measure the blood pressure in sitting and standing positions.
d. Document the findings in the medical rec-ord; elevated blood pressures are normal in older adults.
ANS: B
When an abnormal blood pressure reading is obtained, it is necessary to do two measurements, five minutes apart, confirmed in the contralateral arm. Doing orthostatic measurements is not in-dicated in this situation. A blood pressure reading above 140/90 is considered abnormal for an older adult.
You might also like to view...
When caring for a woman who is entering menopause, the client reports she is faced with increasing vaginal dryness. She asks what can be done to manage the condition. Based upon your knowledge, what is the most
likely treatment to be employed? A) The client will benefit by using medicated douches daily. B) The client will likely be prescribed oral hormone replacement therapy. C) The client should apply petroleum jelly vaginally to restore moisture. D) The client may be prescribed a hormone-containing vaginal cream.
Ordered: Amoxicillin 275 mg po tid for 10 daysOn hand: See labelNote: Partial bottles are not dispensed. Calculate the number of containers to dispense: ________. 
What will be an ideal response?
The nurse is participating in the clinical trial of a new medication. A patient enrolled in the trial says, "I don't like the side effects of this drug." Which statement, made by the nurse, is indicated? Standard Text: Select all that apply
1. "Clinical trials are run to identify problems with new drugs, so some side effects should be expected." 2. "The decision to stay in the trial is up to you." 3. "Aren't you being paid for participating in this trial?" 4. "Would you like to discuss the trial with one of the researchers?" 5. "Let's review the informed consent you signed and see what it says about early withdrawal from the trial."
The parent of an 8-year-old child recently diagnosed with AD/HD verbalizes concerns about giving the child stimulants. The primary care NP should recommend:
a. modafinil (Provigil). b. guanfacine (Intuniv). c. bupropion (Wellbutrin). d. atomoxetine (Strattera).