In a hypertensive crisis, how should a nurse intervene?

In a hypertensive crisis, the priority is to provide immediate and effective treatment to reduce dangerously high blood pressure and minimize the risk of complications such as stroke or heart attack. Placing the patient in a semi-Fowler's position helps facilitate better venous return, promotes lung expansion, and may alleviate some stress on the cardiovascular system. This position is also more comfortable for the patient and can aid in reducing anxiety during a crisis.

Administering intravenous (IV) medications, as prescribed, allows for rapid onset of action. IV antihypertensive agents are preferred in this acute setting because they can quickly lower blood pressure, providing more precise control compared to oral medications. Oral options are not appropriate in a crisis situation since they do not act quickly enough to address the immediate danger.

Monitoring blood pressure is essential, but the frequency recommended in the correct intervention—along with administering IV meds—ensures that the patient's critical condition is managed effectively. This combination of positioning and pharmacological intervention is vital for safe management of hypertension during a crisis.