What is the first action a nurse should take when admitting a client with hypertension?

• A. Administer antihypertensive medication
• B. Perform a physical assessment
• C. Review their medical history
• D. Document their vital signs

Answer: (B)

Performing a physical assessment is fundamental when admitting a client with hypertension because it allows the nurse to gather comprehensive information about the client’s current health status. This initial assessment helps to identify any immediate health concerns, including blood pressure readings, signs of target organ damage, and overall physical condition.

Understanding the client’s baseline health can guide subsequent interventions, such as deciding when or if to administer antihypertensive medication. Additionally, a thorough physical assessment lays the groundwork for evaluating the effectiveness of future interventions and monitoring changes in the client’s condition over the course of their care.

While reviewing the medical history, documenting vital signs, and administering medication are all important parts of client care, they follow the initial physical assessment. The assessment prioritizes immediate, observable health indicators and establishes a foundation for all further actions taken during the admission process.