A Client Returns to the Room After a Physical Therapy

Multiple Choice

A client returns to the room after a physical therapy session. The client has a cast on the right arm. The nursing assistant takes the blood pressure (BP) and notes the reading is 160/90 mm Hg, which is higher than the client's previous reading. What is the appropriate action for the nursing assistant to take?

A) Repeat the BP using the opposite arm.
B) Retake the BP with a smaller sized cuff.
C) Report the findings to the nurse immediately.
D) Wait 5 minutes before rechecking the BP.