A nurse is caring for a client who is experiencing a hypertensive crisis. Which of the following actions should the nurse take?A. Initiate an IV dopamine infusion.B. Begin an IV bolus of lactated Ringer's.C. Perform neurological assessments.D. Place the client supine.
Question
A nurse is caring for a client who is experiencing a hypertensive crisis. Which of the following actions should the nurse take?A. Initiate an IV dopamine infusion.B. Begin an IV bolus of lactated Ringer's.C. Perform neurological assessments.D. Place the client supine.
Solution
The nurse should perform neurological assessments. This is because a hypertensive crisis can lead to serious complications such as stroke or heart attack. Regular neurological assessments can help the nurse monitor the client's condition and detect any changes early. These assessments can include checking the client's level of consciousness, strength, sensation, coordination, and reflexes.
While initiating an IV dopamine infusion and beginning an IV bolus of lactated Ringer's can be part of the treatment for a hypertensive crisis, these actions are typically performed by a doctor or under a doctor's direct order.
Placing the client supine is not recommended as this position can increase blood pressure further. The client should be placed in a semi-Fowler's position (sitting up at a 45-degree angle) to help decrease blood pressure.
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