The Nurse Is Working in an Urgent Care Clinic That

Multiple Choice

The nurse is working in an urgent care clinic that has standardized treatment protocols for implementation by nursing staff. After reviewing the history,physical assessment,and vital signs for a 60-yr-old patient as shown in the accompanying figure,which action should the nurse take first?

A) Check the patient's blood glucose level.
B) Take the blood pressure on the left arm.
C) Use an irrigating syringe to clean the ear canals.
D) Report a vision change to the health care provider.