The nursing student is taking blood pressures at a health-screening fair in the local mall. A 26-year-old woman who is seven months pregnant has a blood pressure reading of 146/99. Which of the following actions does the nursing student take?
1. Tell the client that she has a normal blood pressure.
2. Call 911 for an ambulance because the blood pressure is dangerously high.
3. Advise the client to notify her physician immediately of the results.
4. Advise the woman to go home, rest, and put her feet up.
3
Rationale: The blood pressure for this client is too high, and the client is advised to contact her physician immediately. There is no evidence that the client is in any distress, so calling 911 is unnecessary. The blood pressure, however, is too high to send the client home to rest. The pregnant client might run a slightly higher pressure than normal for her age, but, this blood pressure is an indication of problems for the client and her baby.
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