A patient with hypertension has a blood pressure of 188/122 mmHg, severe headache and blurred vision. Which action should the nurse take first?
Correct answer: B. Assess neurological status and notify the healthcare provider promptly
- A. Place the patient in a quiet room and recheck pressure later
- B. Assess neurological status and notify the healthcare provider promptly
- C. Encourage oral fluids and ask the patient to walk slowly
- D. Administer the next scheduled antihypertensive dose only
Explanation
Severe hypertension with neurological symptoms may indicate acute target-organ injury. Neurological assessment and prompt reporting are priorities; delaying care or relying only on the scheduled dose may allow complications to progress.
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About Cardiovascular Nursing
Covers assessment and nursing care for hypertension, coronary artery disease, angina, myocardial infarction, heart failure, valvular disease and dysrhythmias. It includes interpreting vital signs and ECG findings, managing chest pain, monitoring cardiac medicines, recognizing complications and distinguishing left-sided from right-sided heart failure.
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