The nurse on the intermediate care unit received change-of-shift report on four patients with hypertension. Which patient should the nurse assess first?

Correct Answer: A

Rationale: The patient with chest pain may be experiencing acute myocardial infarction, and rapid assessment and intervention are needed. The symptoms of the other patients also show target organ damage but are not indicative of acute processes.

Correct Answer: D

Rationale: In cases of hypertensive urgency, oral agents can be administered with the goal of normalizing BP within 24 to 48 hours. For patients with this health problem, a BP of ≤120/80 mm Hg may be unrealistic.

Correct Answer: D

Rationale: Atrial stretch receptors inhibit the vasomotor centre via reflex mechanisms.

Correct Answer: A

Rationale: Platelet factor IV inhibits angiogenesis by antagonizing pro-angiogenic factors.