Question

An RN delegates the task of obtaining the BP of a client who is 2hr post-op following a cholecystectomy to a LPN. The LPN reports a BP that is significantly higher than the previous reading. Which of the following actions should the RN take first?

-Recheck the client's BP
-Treat the client's BP with a prescribed antihypertensive
-Ask the LPN to review the technique for obtaining BP
-Review the client's medical record for other episodeds of elevated BP

Answer 1

The RN should first recheck the client's BP to confirm the accuracy of the LPN's measurement and assess the client for any signs or symptoms of complications.

Step-by-step explanation:

The RN should first recheck the client's BP. This is important to confirm the accuracy of the LPN's measurement and to ensure that the client's BP is indeed significantly elevated. The act of rechecking the BP will also allow the RN to assess the client for any signs or symptoms of hypertensive crisis or other complications.

If the rechecked BP remains elevated, the RN can then consider other appropriate actions, such as treating the client's BP with a prescribed antihypertensive, asking the LPN to review the technique for obtaining BP, or reviewing the client's medical record for other episodes of elevated BP.