The nurse is assessing the vital signs of a 5-year-old client. Should

The nurse is assessing the vital signs of a 5-year-old client. Should the nurse measure this child’s blood pressure?

1. Yes, blood pressure is measured for all children over the age of 3 years.
2. No, blood pressure measurements are not required until age 13.
3. Only if the child complains of headache or has an elevated pulse rate.
4. Yes, but the measurement must be taken in the child’s thigh.

ANSWER

Correct Answer: 1
Rationale 1: Blood pressure measurements should be included for all children over the age of 3 years.
Rationale 2: Blood pressure measurements should be included for all children over the age of 3 years.
Rationale 3: Blood pressure measurements should be included for all children over the age of 3 years.
Rationale 4: The blood pressure is measured with a child-size cuff and can be taken in any extremity.