The nurse is caring for a client with malignant hypertension. What would be an appropriate nursing intervention for this client?
A) Monitor the client's mental and emotional status every hour.
B) Monitor the blood pressure (BP) every few minutes by applying an automatic BP recording machine.
C) Monitor the client's blood sugar every hour.
D) Monitor the client's temperature every few minutes.
B
Feedback:
The nurse applies an automatic BP recording machine to the arm to measure the BP every few minutes. The nurse also keeps emergency equipment and drugs ready in case complications develop. Monitoring the client's mental and emotional status, blood sugar, or temperature every few minutes will not reflect the sudden rise in BP of a client with malignant hypertension.
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