A Patient Is Recovering Following a Carotid Endarterectomy

question 42

Multiple Choice

A patient is recovering following a carotid endarterectomy. The blood pressure has risen this morning to 168/60. The nurse should do which of the following?

• A)Recheck the blood pressure and make sure the correct size cuff was used.Then compare the trend of blood pressure readings and call the physician now.
• B)Recheck the blood pressure every hour and report this change to the physician when he or she makes rounds the next time.
• C)Record the blood pressure and find out who took this reading.Have that staff member demonstrate his or her blood pressure procedure and offer tips to obtain more accurate readings.
• D)Check the standing orders and see if there is a medication ordered p.r.n.for lowering blood pressure.If so, administer it and document the action.

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Definitions:

Delusion of Grandeur

A Delusion of Grandeur is a false belief in one's own superiority, greatness, or power, often a symptom of psychiatric disorders like bipolar disorder or schizophrenia.

DSM-IV-TR

The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision; a manual for the assessment and diagnosis of mental disorders.

Axis I

A classification in earlier versions of the Diagnostic and Statistical Manual of Mental Disorders that describes clinical disorders, including mood disorders, anxiety disorders, and schizophrenia.

Axis II

A classification previously used in the DSM (Diagnostic and Statistical Manual of Mental Disorders) for diagnosing personality disorders and intellectual disabilities.