A Patient Returned from a Procedure and Has Vital Sign

question 6

Multiple Choice

A patient returned from a procedure and has vital sign measurements ordered every hour. The patient's blood pressure has dropped from 132/82 mm Hg an hour ago to 90/66 mm Hg. What priority action by the nurse is most appropriate?

• A) Take the vital signs again in another hour.
• B) Document the findings in the patient's chart.
• C) Have another nurse recheck the vital signs.
• D) Plan to take the vital signs more often.

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