The Nurse Is Caring for a Patient with an Arterial

question 19

Multiple Choice

The nurse is caring for a patient with an arterial monitoring system.The nurse assesses the patient's noninvasive cuff blood pressure to be 70/40 mm Hg.The arterial blood pressure measurement via an intraarterial catheter in the same arm is assessed by the nurse to be 108/70 mm Hg.What is the best action by the nurse?

• A) Activate the rapid response system.
• B) Place the patient in Trendelenburg position.
• C) Assess the cuff for proper arm size.
• D) Administer 0.9% normal saline bolus.

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