The community health nurse is holding a blood pressure check at a ...

[jho37]

The community health nurse is holding a blood pressure check at a community center. Which of the following measurements indicates Stage 1 hypertension?
 
  1. 115/76
  2. 136/88
  3. 154/90
  4. 162/90

Question 2

The nurse working in the physician's office is caring for a client who has a mild allergic response to medication administered during the visit. The nurse reports the response to the:
 
  1. Medical assistant office manager.
  2. Physician.
  3. Medical assistant assigned to the same physician as the nurse.
  4. Receptionist.

[helenmarkerine]

Answer to Question 1

3
Rationale: This blood pressure is within normal limits, and should be rechecked in 1 year

Answer to Question 2

2
Rationale: The nurse would report the change in the client's status to the physician or RN supervisor. The nurse does not report to the unlicensed assistive personnel (UAP), in this case the medical assistant, in regard to client. While the MA may act as the nurse's supervisor in terms of employment, the nurse is not supervised by the MA in terms of client care and needs.