Discuss OMSB OMSB_OEN Exam Topic 6 Question 16

A nurse found two different readings while measuring a blood pressure for a client at primary health care.

According to the guideline of National Non-communicable Disease (NCD) screening program, which of the following is the BEST nurse's action?

ARecord the average of the reading

BRecord the highest reading for both arms

CAsk the patient to lay down and check BP in both arms

DRepeat blood pressure measurement and take the average of the two readings

Suggested Answer: D

In the termination phase of a home visit, the appropriate nursing action is to review important teaching topics discussed during the visit. This ensures that the family understands the care instructions and can ask any final questions. Validating the health history and documenting the care provided are important but are typically part of the initial or ongoing phases of the visit. Determining readiness for future visits is also important but is secondary to ensuring the family understands the teaching provided.

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34 comments · newest first

Altha 10 months ago

The guidelines usually recommend averaging for accuracy.

Bernardine 11 months ago

I’m surprised they suggest averaging. Isn’t that risky?

Charlesetta 11 months ago

Wait, why not just take the highest reading? Seems simpler.

Sonia 11 months ago

Definitely agree with D. Averaging is key!

Jillian 11 months ago

I think D is the best choice! Repeating the measurement makes sense.

Filiberto 12 months ago

I feel like asking the patient to lay down could help, but I’m not confident if that’s the standard procedure for this situation.

Mertie 12 months ago

I'm not entirely sure, but I think recording the highest reading might be important if there's a big discrepancy between the two.

Angella 12 months ago

I think we practiced a question similar to this, and I feel like repeating the measurement is usually the best approach to ensure accuracy.

Benton 1 year ago

I remember we discussed that averaging readings can sometimes be misleading, especially if there's a significant difference.

Scarlet 1 year ago

I think the key here is to follow the guidelines of the National Non-communicable Disease (NCD) screening program. Based on that, the best action would be to repeat the blood pressure measurement and take the average of the two readings.

Brendan 1 year ago

I'm not entirely sure about this one. Should I ask the patient to lay down and check the blood pressure in both arms, or just take the average of the two readings? I'll need to think this through carefully before answering.

Beata 1 year ago

Okay, I've got this. The guidelines clearly state that the nurse should record the highest reading for both arms. That's the best way to ensure the patient's blood pressure is accurately assessed.

Niesha 1 year ago

I'm a bit confused here. The question mentions two different readings, but it's not clear if that means two readings on the same arm or two readings on different arms. I'll need to re-read the question carefully to decide the best course of action.

Louisa 1 year ago

Hmm, this seems straightforward. I think the best approach is to repeat the blood pressure measurement and take the average of the two readings, as that's what the guidelines recommend.

Kristel 1 year ago

I'm a bit confused by this question. The options seem a bit random - why would it return a String or a QueueItem? I'm going to have to review the documentation on this activity to make sure I understand what it's supposed to do.

Fatima 1 year ago

This question is a real blood pressure boiler! I bet the exam writers had a field day coming up with these options.

Jackie 1 year ago

I was going to say A, but then I remembered that the average of two different readings is probably not the most accurate representation.

Dean 1 year ago

↳ replying to Jackie

D) Repeat blood pressure measurement and take the average of the two readings

Salley 1 year ago

↳ replying to Jackie

C) Ask the patient to lay down and check BP in both arms

Nicolette 1 year ago

↳ replying to Jackie

B) Record the highest reading for both arms

Kent 1 year ago

Asking the patient to lay down and checking both arms is a good idea, but it's not the 'BEST' action according to the guidelines.

Hortencia 1 year ago

↳ replying to Kent

A: That sounds like the best option to ensure accuracy

Ceola 1 year ago

↳ replying to Kent

B: Repeat blood pressure measurement and take the average of the two readings

Dustin 1 year ago

↳ replying to Kent

A: Record the average of the reading

Nan 1 year ago

I'm not sure why the guidelines would specify to record the highest reading. That doesn't seem very practical or helpful.

Malcolm 1 year ago

↳ replying to Nan

A: Recording the highest reading for both arms doesn't seem very helpful in this situation.

Ivory 1 year ago

↳ replying to Nan

B: Yeah, that sounds like the most accurate way to get a reliable blood pressure reading.

Ben 1 year ago

↳ replying to Nan

A: I think the best action would be to repeat the blood pressure measurement and take the average of the two readings.

Samuel 1 year ago

D sounds like the most reasonable option to me. Repeating the measurement and taking the average would give us the most accurate reading.

Alpha 1 year ago

↳ replying to Samuel

Yes, repeating the measurement and taking the average is the most reliable way to get an accurate reading.

Kami 1 year ago

↳ replying to Samuel

I agree, option D seems like the best choice for accuracy.

Iluminada 2 years ago

I would choose option D as well. It's the most reliable way to determine the client's blood pressure.

Rebecka 2 years ago

I agree with Clorinda. It's important to ensure accuracy by taking the average of the two readings.

Clorinda 2 years ago

I think the nurse should repeat the measurement and take the average of the two readings.

OMSB_OEN Exam - Topic 6 Question 16 Discussion