After capturing an elevated BP reading, place the stethoscope tube over the patient’s antecubital area and explain, “Your vein under the skin here is approximately this big, and the blood is moving too fast. When it moves through tiny tubes like the veins in your kidneys, eyes, and brain, the blood is moving even faster and could blow out the tubing.” The conversation then moves to adherence to antihypertensive medication. — Valerie Armstrong, NP, Jacksonville, Fla. (158-12)

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