A patient with a history of hypertension treated with a diuretic and an angiotensin-converting enzyme (ACE) inhibitor arrives in the emergency department complaining of a severe headache and nausea and has a blood pressure (BP) of 238/118 mm Hg
Which question should the nurse ask first?
a. "Did you take any acetaminophen (Tylenol) today?"
b. "Have you been consistently taking your medications?"
c. "Have there been any recent stressful events in your life?"
d. "Have you recently taken any antihistamine medications?"
ANS: B
Sudden withdrawal of antihypertensive medications can cause rebound hypertension and hypertensive crisis. Although many over-the-counter medications can cause hypertension, antihistamines and acetaminophen do not increase BP. Stressful events will increase BP but not usually to the level seen in this patient.
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