Medical Emergencies · single question

During a patient visit, blood pressure cuff readings become erratic and inconsistent. What is the FIRST thing to do?

  1. Immediately repeat the reading on the other arm
  2. Check the cuff placement and ensure it is properly positioned on the arm
  3. Call 911
  4. Administer antihypertensive medication
Show answer and explanation

Correct answer: B. Check the cuff placement and ensure it is properly positioned on the arm

  • A. Incorrect. Repeating on the other arm is a valid clinical step, but first verify the cuff is correctly placed.
  • B. Correct. Erratic BP readings are most commonly caused by EQUIPMENT OR OPERATOR ERROR. The first step is CHECK THE EQUIPMENT — ensure correct cuff size, proper arm placement, intact tubing. Confirm the reading with proper technique before making any clinical decision.
  • C. Incorrect. Calling 911 is premature before confirming the readings represent a true emergency.
  • D. Incorrect. Administering medication based on erratic/unreliable readings before verifying equipment is premature and dangerous.

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