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Chapter 11: Problem 165

During a routine health screening, a client's bp \(=\) \(180 / 120\). What is the nurse's priority response to this finding? 1\. Arrange to have the client admitted to the hospital. 2\. Emphasize to the client the importance of follow-up with a physician. 3\. Call 9-1-1. 4\. Assess the client for stressors.

Short Answer

Expert verified
Call 9-1-1 for immediate medical assistance.

Step by step solution

01

Understanding the BP Reading

The blood pressure reading of 180/120 mmHg is considered hypertensive crisis, which is very high and indicates a serious condition that requires immediate attention.
02

Analyze the Options

Review the given responses to determine which is the most appropriate given the high blood pressure reading. Options include hospital admission, follow-up with a physician, calling emergency services, or assessing stressors.
03

Determine Most Urgent Response

Since the blood pressure is critically high and might endanger the client鈥檚 health, immediate medical attention is necessary. Therefore, calling 9-1-1 is the best response to ensure the client gets urgent medical care.
04

Justify the Priority Response

Other options, like hospital admission or follow-up, do not address the immediate danger presented by such high blood pressure. Assessing stressors does not provide the urgent care necessary for this hypertensive crisis.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Understanding a Hypertensive Crisis
A hypertensive crisis is a severe increase in blood pressure that can lead to a stroke or other serious health problems. Blood pressure readings of 180/120 mmHg or higher are classified as hypertensive crises. When a person experiences such high blood pressure, it indicates the heart is working harder than it should to pump blood, which can damage blood vessels and vital organs.
This condition is divided into two categories:
  • Hypertensive Urgency: Extremely high blood pressure without any immediate target organ damage. Although it is less severe, it still requires prompt medical assessment and intervention, usually involving medication adjustments.
  • Hypertensive Emergency: High blood pressure levels with evidence of impending or progressive organ damage, such as acute heart or kidney failure, or stroke. This situation calls for immediate medical intervention, usually in a hospital setting where intravenous (IV) medications can be administered to quickly lower the blood pressure.
In any scenario, recognizing the symptoms and acting fast can prevent further health complications.
Executing an Emergency Response
An emergency response is vital when faced with a hypertensive crisis, particularly if the person might be experiencing a hypertensive emergency. The quick response can make a significant difference in the patient's outcome. This involves several important steps:
  • Immediately call emergency services (9-1-1) to get the person urgent care and transportation to a hospital.
  • Stay with the individual and try to keep them calm, as anxiety can exacerbate blood pressure levels.
  • If trained, monitor the person for any signs of complications, such as chest pain, shortness of breath, or severe headache, and communicate these symptoms to paramedics upon their arrival.
  • Avoid administering any new medication unless prescribed earlier by a healthcare provider, as improper medication can worsen the situation.
Quickly initiating these actions ensures the patient receives the care they need before further complications arise.
Principles of Blood Pressure Management
Effective blood pressure management is essential to prevent a hypertensive crisis. It involves both lifestyle changes and medications prescribed by healthcare professionals. Here are key principles for managing blood pressure:
  • Healthy Diet: Consuming a balanced diet low in sodium and rich in fruits, vegetables, and whole grains can help lower blood pressure. The DASH diet is often recommended.
  • Regular Exercise: Engaging in regular physical activity strengthens the heart, enabling it to pump more efficiently, thereby reducing blood pressure.
  • Weight Management: Losing even a small amount of weight if overweight can have a significant impact on blood pressure.
  • Medication Adherence: Taking prescribed medications as directed by a healthcare provider helps keep blood pressure under control. It's crucial not to stop them abruptly or alter doses without consulting a doctor.
  • Reduction of Stress: Managing stress through relaxation techniques or therapy can have a positive effect on blood pressure.
By following these principles, individuals can reduce their risk of a hypertensive crisis and maintain overall cardiovascular health.

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Most popular questions from this chapter

Important nursing management functions include: 1\. education of staff and personnel. 2\. provides performance feedback. 3\. monitor the quality of nursing care. 4\. all of the above.

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