NCLEX-PN

Category - Reduction of Risk

A nurse is assessing a female client with a blood pressure of 160/120. Which of the following recommendations by the nurse is the most appropriate?
  1. The client’s blood pressure should be rechecked in 2 years
  2. The nurse should refer the client immediately for further evaluation
  3. Evaluate the client within a month
  4. Evaluate the client within a week
Explanation
Answer: B - A diastolic pressure of 120 is dangerously high and a systolic pressure of 160 is high. The cltient requires immediate evaluation.
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