The nursing assistive person is taking vital signs and reports that a patient's blood pressure is abnormally low. The nurse should
a. Have the nursing assistive person retake the blood pressure.
b. Ignore the report and have it rechecked at the next scheduled time.
c. Retake the blood pressure herself and assess the patient's condition.
d. Have the nursing assistive person assess the patient's other vital signs.
ANS: C
The nursing assistive person should report abnormalities to the nurse, who should further assess the patient. The nursing assistive person should not retake the blood pressure or other vital signs because the nurse needs to assess the patient. The report cannot be ignored. Assessment must be done by the nurse.
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