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Vital Signs for a Patient Reveal a High Blood Pressure

Question 23

Multiple Choice

Vital signs for a patient reveal a high blood pressure of 187/100. Orders state to notify the health care provider for diastolic blood pressure greater than 90. What is the nurse's first action?


A) Follow the clinical protocol for a stroke.
B) Review the most recent lab results for the patient's potassium level.
C) Assess the patient for other symptoms or problems, and then notify the health care provider.
D) Administer an antihypertensive medication from the stock supply, and then notify the health care provider.

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