In case of a hypertensive crisis, what should the nurse do first?

In the event of a hypertensive crisis, the immediate priority for a nurse is to notify the healthcare provider without delay. This is crucial because a hypertensive crisis can pose significant risks to the patient, including the potential for organ damage or life-threatening conditions such as hypertensive encephalopathy, acute myocardial infarction, or stroke. Prompt notification allows for swift intervention and management by the healthcare team.

In a hypertensive crisis, assessment and therapy need to begin as quickly as possible, and the provider may need to adjust medications, initiate intravenous antihypertensive therapy, or take other critical actions based on the severity of the crisis. By notifying the provider immediately, the nurse ensures that the patient receives the necessary attention and treatment in a timely manner, which can greatly impact outcomes.

While monitoring oxygen levels, administering IV fluids, or performing a swallowing screen may be essential interventions in various clinical situations, they are not the immediate priority in a hypertensive crisis. The focus must remain on addressing the dangerously high blood pressure and its potential complications through provider intervention.