The nurse appropriately instructs trained ancillary personnel to avoid

The nurse appropriately instructs trained ancillary personnel to avoid using an electronic blood pressure cuff to take the blood pressure of which of the following clients?

1. A 25-year-old who was admitted for depression and anxiety
2. A 69-year-old diagnosed with Parkinson’s disease 5 years ago
3. A 57-year-old prescribed antihypertensive medication 6 weeks ago
4. An 80-year-old client whose systolic BP is routinely assessed in the low 90s

ANSWER

ANS: 2
Blood pressure less than 90 mm Hg systolic, irregular heart rate, peripheral vascular obstruction (e.g., clots, narrowed vessels), shivering, seizures, excessive tremors, and the inability to cooper-ate are reasons to avoid using an electronic BP monitor. The client’s Parkinson’s disease causes tremors, so a manual cuff should be used when assessing this client’s BP.