Difficulty: Medium
Average Score: 76%
Full-length
The nurse is talking with a 74-year-old client with previously well-controlled hypertension. The client currently has a blood pressure of 190/88 mm Hg and has had a cold with nasal congestion for the past 3 days. Which of the following questions would be most important for the nurse to ask?
Correct answer
B
Rationale
OTC cold medications (e.g., decongestants) can elevate blood pressure, explaining the sudden increase, making this the most important question.