When Assessing Your Client, You Note a Blood Pressure (BP)

question 17

Multiple Choice

When assessing your client, you note a blood pressure (BP) of 205/115. The client has had BP's within normal limits up until this time. The client complains of a sudden onset severe headache. The nurse recognizes this as probable malignant hypertension. What would be the nurse's first action?

• A) Give ordered antihypertensive.
• B) Notify the physician.
• C) Call a code.
• D) Wait 15 minutes and reassess the vital signs.

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