Difficulty: Medium
Average Score: 69%
Simulated
The nurse is caring for a client with uncontrolled hypertension. Which findings require immediate nursing action?
Correct answer
D
Rationale
weakness in left arm. In a client with hypertension, weakness in the extremities is a sign of cerebral involvement with the potential for cerebral infarction or stroke. Cerebral infarctions account for about 80% of the strokes in clients with hypertension. The remaining three choices indicate mild fluid overload and are not medical emergencies.