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[Expert Solution]: It is 10:00 AM, and the nurse needs to…

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It is 10:00 AM, and the nurse needs to give a patient a blood pressure medication but would like to know what the morning vital signs were before administering the medication. The nurse looks at the flow sheet, but the vital signs are not there. Which action would the nurse take first? Give the blood pressure medication now and then check the blood pressure in 30 minutes. Find the UAP and ask why the morning vital signs have not been documented. Check the blood pressure, give the medication as appropriate, and then document both. Check in the nurses’ notes to see if the vital signs were documented there.

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