The nurse is working on a busy cardiac unit caring for four hypertensive clients. Which client description would the nurse assess first because the client is at an increased risk for malignant hypertension?
A) A client with anorexia and history of no healthcare insurance
B) A client with liver dysfunction who drinks alcohol daily
C) A schizophrenic residing at an assisted living facility
D) A client with chronic asthma who uses a corticosteroid inhaler
A
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Accelerated and malignant hypertension can occur in individuals who fail to maintain follow-up or comply with medical therapy. Those individuals who have no healthcare insurance often are unable to obtain the medical follow-up or afford the cost of medications to treat the hypertensive state. If the hypertension is untreated, symptoms and complication can rapidly follow. The other choices need further assessment but are not the priority.
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