Reduction of Risk PotentialQuestion 302 of 2368
A client finished a cup of coffee 15 minutes ago and is now ready for a blood pressure check. What should the nurse do?
- Cancel the measurement for the day
- Document the recent caffeine intake with the reading
- Use a larger cuff to adjust for caffeine
- Take the reading and omit the caffeine from the record
Show answer
Correct answer: Document the recent caffeine intake with the reading
Caffeine or nicotine within 30 minutes of measurement should be documented with the reading.
Source: Nursing Skills, 2nd edition (Open RN, Chippewa Valley Technical College, 2023), Blood Pressure: Clinical Tips. Licensed under CC BY 4.0.
Practice the topic "Reduction of Risk Potential"Questions last reviewed: 18 October 2026