NCLEX-RN

Category - Care Management

Nina the New Nurse is visiting with her family; they are having a BBQ in Nina the New Nurse’s honor to celebrate her new job! Aunt Natasha asks Nina the New Nurse to check Uncle Ted’s blood pressure. Uncle Ted’s’ blood pressure is 160/94. “Well sweetie, you might want to practice the blood pressure thingy-my blood pressure isn’t near that high!” advises Uncle Ted. What is Nina the New Nurse’s best response?
  1. “Uncle Ted, you should see your doctor within the next week. 160/94 is a bit high, and your doctor may want to recheck your blood pressure.”
  2. “No need to worry, just check it on the drugstore machine next time you pass by the store.”
  3. “Everyone! This is a medical emergency. Fear not! Nina the New Nurse is here.”
  4. “Uncle Ted, you should see your doctor within the next three days. 160/94 is a bit high, and your doctor may want to recheck your blood pressure.”
Explanation
Answer: D - A blood pressure reading of 160/94 warrants a visit to a primary health care practitioner, within three days, for evaluation. A nurse’s duty extends beyond the scheduled shift in a facility. Family members and neighbors may present opportunities to educate and promote health and wellbeing. Nurses are responsible for making appropriate recommendations for the best care possible for that individual.
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