The nurse has assigned nursing assistive personnel to obtain the blood

The nurse has assigned nursing assistive personnel to obtain the blood pressures on the unit’s cli-ents.

Which of the following statements made by the assistive personnel shows the best understanding regarding appropriate communication of the BP readings?
1. “I’ll ask the clients what their blood pressure usually runs.”
2. “I’ll give you a list of all the readings I get before I chart them.”
3. “I’ll chart the results and let you know whose pressure is high.”
4. “I’ll recheck any pressure that seems higher than their normal.”

ANSWER

ANS: 2
The nurse is responsible for assessing the impact of changes in blood pressure and so must be aware of each client’s reading, not merely the values that the assistive personnel believes to be high. Asking the client to share what their BP is routinely and/or retaking a questionable reading is appropriate but not directly related to effective communication of the findings.