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[Solved]: A 4 year old female present to the office for a…

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A 4 year old female present to the office for a physical . Her parents recently moved to the area she reports she has not visited a doctor a few years . her mother reports an eventful perinatal course she was born at home and does not have any preexisting conditions . you obtained the following VS T 37 C, P 90, RR 26, BP 158/78, right arm sitting. Given the vital signs the best next steps include a. notify the physican immediately , consider possible essential hypertension B. obtain a BP in the left arm and a thigh pressure before notifying the provider c. Obtain a bpm in the left arm then repeat the right arm pressure then notify the provider. d. check the instrument calibration and get a different bp cuff. she should not have a high Bp e. the most likely explanation is user error, have another obtain bilateral blood pressure

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