Answer:
There is a significant difference between the two means based on this samples at the 0.10 level of significance.
Explanation:
Let's call 
 mean of the systolic pressure from the right hand 
 mean of the systolic pressure from the left hand 
and construct a confidence interval for the difference 
 
based on the sample of size 5. 
The confidence interval whose endpoints are 
 
where 
 = mean of the sample from the right hand 
 = mean of the sample from the left hand 
 = standard deviation of the sample from the right hand 
 = standard deviation of the sample from the left hand 
 = t-score corresponding to a level of significance 0.10 or a confidence level 90% 
Since the sample is too small we have better use the Student's t-distribution with 4 (sample size -1) degrees of freedom, which is the approximation of the Normal distribution for small samples. 
For a 90% confidence level 
 equals 2.132 
Let's compute now the means and standard deviations of the samples 
From the right hand we have 
 = 139.2 
 = 7.66 
From the left hand we have 
 = 164.6 
 = 16.85 
Then our confidence interval would be 
 
finally, the interval is 
[-43.05, -7.75] 
Since our confidence interval does not contain the zero, we can say there is a significant difference between the two means based on this samples at the 0.10 level of significance.