Health Promotion and Maintenance Q 147



At a community health fair, the blood pressure of a 62-year-old client is 160/96 mmHg. The client states “My blood pressure is usually much lower.” The nurse should tell the client to:
  
     A. Go get a blood pressure check within the next 15 minutes
     B. Check blood pressure again in two (2) months
     C. See the healthcare provider immediately
     D. Visit the health care provider within one (1) week for a BP check
    
    

Correct Answer: A. Go get a blood pressure check within the next 15 minutes

The blood pressure reading is moderately high with the need to have it rechecked after a few minutes to verify. The client states it is ‘usually much lower.’ Thus a concern exists for complications such as stroke.

Options B & D: Waiting 2 months or a week for follow-up is too long.
Option C: Immediate check by the provider of care is not warranted.