A patient with a history of hypertension arrives to the emer…
A patient with a history of hypertension arrives to the emergency department with a blood pressure of 240/118 mm Hg and reports a severe headache, fatigue, and decreased urine output over the past few days. The patient has been prescribed a furosemide (Lasix) and lisinopril. Laboratory results show an elevated serum creatinine, and an echocardiogram reveals left ventricular hypertrophy. The patient has no chest pain, but their LDL cholesterol is elevated. Based on this scenario, complete the following statements by selecting the correct response from the word bank. Options: *scroll to bottom for questions and blanks* Options for Blank 1: Options for Blank 2: Did you take acetaminophen today? Do you have any recent stressful events in your life? Have you recently taken any antihistamine medications? Have you been consistently taking your medications? BUN 15 mg/dL — Normal: 10–20 mg/dL Serum creatinine of 2.6 mg/dL — Normal: 0.7–1.4 mg/dL Serum uric acid 7.8 mg/dL — Normal: 2.5–8 mg/dL Serum potassium 3.4 mEq/L — Normal: 3.5–5.0 mEq/L Questions: The nurse is assessing for the potential cause of the patient’s critically-high blood pressure. To assess for cause, the nurse should ask, “[BLANK-1]” Which finding most clearly indicates hypertensive emergency – not hypertensive urgency – for this patient? [BLANK-2]
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