Nokea
A 62-yr-old client who has no history of hypertension or other health problems suddenly develops a blood pressure (BP) of 198/110 mm Hg. After reconfirming the BP.What is most appropriate for the nurse to tell the client
Correct Answer: C
Rationale: The correct answer is C because a sudden spike in blood pressure to 198/110 mm Hg is considered hypertensive crisis requiring immediate medical attention. The nurse should inform the client that diagnosis, treatment, and monitoring are necessary to address the high blood pressure. This is important to prevent serious complications like stroke or heart attack.
Option A is incorrect because waiting a few weeks for a BP recheck could be dangerous in this scenario. Option B is also incorrect as simple dietary changes may not be sufficient to address such high blood pressure levels. Option D is incorrect as hospitalization may or may not be required based on the assessment and treatment plan determined by the healthcare provider.