一名 55 歲高血壓病史病人入院，血壓為 180/110 mmHg。護理師給予靜脈注射降壓藥。給藥 30 分鐘後，護理師應優先評估什麼？
A 55-year-old client with a history of hypertension is admitted with a blood pressure of 180/110 mmHg. The nurse administers an IV antihypertensive medication. What is the priority nursing assessment 30 minutes after administration?
- ABlood pressure reading✓ 正解血壓讀數
- BPeripheral pulses周邊脈搏
- CApical heart rate心尖脈搏
- DNeurological status神經學狀態
靜脈注射降壓藥物（如 Nitroprusside 或 Labetalol）旨在快速降低過高的血壓。給藥 30 分鐘後，護理師必須評估藥物的療效，即確認血壓是否已降至安全目標範圍。此時評估血壓最直接且優先，因為藥物過量可能導致低血壓（Hypotension）與器官灌流不足，特別是腦部灌流。這是臨床安全評估中最關鍵的步驟。
Intravenous antihypertensive drugs (such as nitroprusside or labetalol) are administered to rapidly lower dangerously elevated blood pressure. Thirty minutes after administration, the nurse must evaluate the drug's effect by confirming that the blood pressure has fallen into the safe target range. Assessing the blood pressure at this point is the most direct and highest priority, because overshoot may cause hypotension and inadequate organ perfusion, particularly of the brain. This is the most critical step in the clinical safety assessment.