The nurse is caring for a client with client with blood pressure 228/124 mmHg. Which finding requires immediate follow-up?

Question

Accepted Answer

A. new severe headache and blurred vision — Severe hypertension with neurologic or visual symptoms suggests end-organ damage and requires emergent treatment.

Answer

B. mild anxiety before vital signs

Answer

C. history of treated hypertension

Answer

D. occasional ankle swelling by evening