The nurse on the intermediate care unit received change-of-shift report on four patients with hypertension. Which patient should the nurse assess first?
a. 43-year-old with a (blood pressure (BP) of 160/92 who is complaining of chest pain
b. 52-year-old with a BP of 212/90 who has intermittent claudication
c. 50-year-old with a BP of 190/104 who has a creatinine of 1.7 mg/dL
d. 48-year-old with a BP of 172/98 whose urine shows microalbuminuria
ANS: A
The patient with chest pain may be experiencing acute myocardial infarction, and rapid assessment and intervention are needed. The symptoms of the other patients also show target organ damage but are not indicative of acute processes.
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