A nurse is reviewing the documentation of a client's blood pressure by a newly licensed nurse.
The documentation states, "Blood pressure 102/58 mm Hg, client sitting up in a chair.”. Which of the following information should the nurse clarify?

Systolic blood pressure.

Position of the client.

Unit of measurement.

Location of blood pressure cuff.

Answer and Explanation

The Correct Answer is D

The correct answer is choice d. Location of blood pressure cuff.

Choice A rationale: The systolic blood pressure of 102 mm Hg is within a normal range and does not require clarification.

Choice B rationale: The position of the client, “sitting up in a chair,” is clearly documented and does not need further clarification.

Choice C rationale: The unit of measurement, “mm Hg,” is the standard unit for blood pressure and is correctly documented.

Choice D rationale: The location of the blood pressure cuff is not specified in the documentation. It is important to document whether the blood pressure was taken on the left or right arm, or another location, to ensure accuracy and consistency in future measurements.

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Correct Answer is A

Explanation

A. Collaborator. B. Case manager. C. Nurse manager. D. Advocate.

Correct Answer is A

Explanation

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A nurse is reviewing the documentation of a client's blood pressure by a newly licensed nurse. The documentation states, "Blood pressure 102/58 mm Hg, client sitting up in a chair.”. Which of the following information should the nurse clarify?

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A nurse is reviewing the documentation of a client's blood pressure by a newly licensed nurse.
The documentation states, "Blood pressure 102/58 mm Hg, client sitting up in a chair.”. Which of the following information should the nurse clarify?