Practice Question
A nurse is administering an IV antihypertensive to a client who has a BP of 185/130 mm Hg. Which of the following actions should the nurse take first?
Answer Choices:
Correct Answer:
Monitor the client's BP every 5 minutes.
Rationale:
🔴 A blood pressure of 185/130 mm Hg indicates a hypertensive crisis, which requires rapid BP monitoring to guide treatment.
🔴 Administering IV antihypertensives can cause sudden BP drops, so close monitoring is essential to prevent organ hypoperfusion.
🔴 The first priority in hypertensive emergencies is stabilizing BP safely and effectively, which requires frequent reassessment.
🔴 Lifestyle changes and dietary advice are important but are not the immediate concern in acute management.
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This question is from ATI LPN Medsurg Midterm Exam which contains 99 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Medical-Surgical
- Answer Choices: 4