Q1. A patient in the prenatal clinic is assessed to have a blood pressure of 180/96. The nurse should give priority to:
- Providing a calm environment
- Obtaining a diet history
- Administering an analgesic
- Assessing fetal heart tones
Show answer and explanation
Answer: A. Providing a calm environment
is correct. A calm environment is needed to prevent seizure activity. Any stimulation can precipitate seizures. Obtaining a diet history should be done later, and administering an analgesic is not indicated because there is no data in the stem to indicate pain. Therefore, answers B and C are incorrect. Assessing the fetal heart tones is important, but this is not the highest priority in this situation as stated in answer D.