Difficulty: Medium
Average Score: 75%
Full-length
The client is admitted with a suspected subarachnoid hemorrhage. Which assessment finding is most concerning?
Correct answer
A
Rationale
A blood pressure of 180/100 mmHg is concerning in subarachnoid hemorrhage, as hypertension can increase the risk of rebleeding or exacerbate intracranial pressure. Normal heart rate, clear CSF, and reactive pupils are less urgent.