While conducting an assessment, the nurse suspects that a patient is experiencing a hypertensive crisis. What did the nurse assess to make this clinical decision?
Select all that apply.
1. acute onset of confusion
2. onset of projectile vomiting
3. complaints of a severe headache
4. systolic blood pressure 198 mmHg
5. diastolic blood pressure 148 mmHg
Correct Answer: 1, 3, 4, 5
Manifestations of hypertensive crisis include confusion, headache, diastolic blood pressure greater than 120 mmHg, and systolic blood pressure greater than 180 mmHg. Projectile vomiting is not a manifestation of hypertensive crisis.
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