A patient's visit to the health care clinic reveals a blood pressure of 142/90. What is the nurse's next step?
1. Notify the physician or primary health care provider immediately.
2. Identify medications the patient has been taking.
3. Discuss the diagnosis of hypertension with the patient.
4. Check the patient's record for the past several blood pressure readings.
4
Rationale 1: There is no need to notify the health care provider immediately.
Rationale 2: The nurse will review medications, but this is not the next step.
Rationale 3: The nurse should not assume this is hypertension.
Rationale 4: The nurse should review the last few blood pressure readings to assess for possible trends.
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