An RN asks the NAP to take a set of vital signs on a patient who has just had an arterial venous shunt placement. The RN reminds the NAP not to take the blood pressure (BP) on the operative side. An...

An RN asks the NAP to take a set of vital signs on a patient who has just

had an arterial venous shunt placement. The RN reminds the NAP not

to take the blood pressure (BP) on the operative side. An hour later, the

RN fi nds the defl ated blood pressure cuff on the operative arm of the

patient. The NAP has done this before and has been counseled about it.

What should the RN do fi rst?

A. Assess the patient’s condition.

B. Avoid asking this NAP to take BPs in the future.

C. Discuss the situation with the NAP and the supervisor.

D. Find the NAP and review the importance of taking the blood

pressure on the non-operative side.