Question

The health care provider has ordered an ARB for a patient with heart failure. The parameters are to maintain a systolic blood pressure ranging from 90 to 110 mm Hg. Today the patient has a blood pressure of 110/80 mm Hg, but shows acute confusion. What is the nurse's first priority action?

a. Give the medication because blood pressure is within the parameters.
b. Call the health care provider about the new onset of confusion.
c. Hold the medication and document the new findings.
d. Assess the patient for other symptoms of decreased tissue perfusion.

Answer 1

The nurse's first priority action should be to call the healthcare provider about the new onset of confusion to ensure prompt evaluation and management of the patient's condition.

Step-by-step explanation:

The nurse's first priority action should be to Call the healthcare provider about the new onset of confusion. While the patient's blood pressure is within the desired range, the acute confusion may be a symptom of decreased tissue perfusion which requires further evaluation and management. By reporting the new finding to the healthcare provider, the nurse can ensure prompt assessment and appropriate intervention to address the patient's condition.