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a nurse on the medical surgical unit is collecting data from a client who is postoperative following abdominal sugery, the client bp was 125/72 mm

a nurse on the medical surgical unit is collecting data from a client who is postoperative following abdominal sugery, the client bp was 125/72 mm hg 15 mins ago, the nurse now find the client bp is 176/96. what action should the nurse take

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