state gov AIIMS Nursing Officer (NORCET - 8) Mock Test 2025 Nursing Psychology and Psychiatric Nursing
A client with internal bleeding is in the intensive care unit (ICU) for observation. At the change of shift an alarm sounds, indicating a decrease in blood pressure. What is the initial nursing action?
1
Perform an assessment of the client before resuming the change-of-shift report.
2
Continue the change-of-shift report and include the decrease in blood pressure.
3
Lower the diastolic pressure limits on the monitor during the change-of-shift report.
4
Turn off the alarm temporarily and alert the oncoming nurse to the decrease in blood pressure.