The Blood Pressure of a Patient with a Traumatic Brain

question 15

Multiple Choice

The blood pressure of a patient with a traumatic brain injury increases from 130/60 to 170/65 mm Hg. How should the nurse respond to this change in blood pressure?

• A) Weighing the patient to determine if the patient is fluid overloaded
• B) Documenting the blood pressure and completing a neurologic assessment
• C) Alerting the physician and preparing to administer an antihypertensive agent
• D) Providing the patient with immediate pain and/or antianxiety medication

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