B. Nurse should access the client blood pressure and pulse.
Blood pressure is the force of your blood pushing against the walls of your arteries. Each time your heart beats, it pumps blood into the arteries. Your blood pressure is highest when your heart beats, pumping the blood. High blood pressure can cause hardening and thickening of the arteries (atherosclerosis), which can lead to a heart attack, stroke or other complications. Increased blood pressure can cause your blood vessels to weaken and bulge, forming an aneurysm.
Pulse is a rhythmic dilation of an artery that results from beating of the heart. Pulse is often measured by feeling the arteries of the wrist or neck.
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Question -twenty minutes after a client has received a preoperative injection of atropine and midazolam (Versed), the client tells the nurse that he must be allergic to the medication because his mouth is dry, and his heart seems to be beating faster than normal. What is the nurse's priority action?
a. document the findings.
b. Assess the client’s pulse and blood pressure.
c. Administer diphenhydramine (Benadryl).
d. Explain to the client that these symptoms are expected.