一名 55 歲高血壓病史病患入院時血壓為 190/110 mmHg。下列哪項評估結果最令護理師擔心？
A 55-year-old client with a history of hypertension is admitted with a blood pressure of 190/110 mmHg. Which assessment finding is most concerning to the nurse?
- ADifficulty speaking and facial drooping✓ 正解說話困難與臉部下垂
- BReports of mild blurred vision主訴輕微視力模糊
- CReported headache of 4/10 intensity主訴疼痛程度 4/10 的頭痛
- DDizziness upon standing站立時頭暈
高血壓急症（Hypertensive emergency）的評估重點在於識別「末梢器官損傷」（End-organ damage）。說話困難與臉部下垂提示急性腦血管意外（Stroke），這屬於神經系統的功能缺損，是極度緊急的臨床發現。相較於頭痛或暈眩，神經功能異常顯示大腦已受到急性損害，必須立即採取急救流程。
Assessment of hypertensive emergency centers on identifying end-organ damage. Difficulty speaking and facial drooping indicate an acute cerebrovascular accident (stroke), representing a neurologic functional deficit and an extremely urgent clinical finding. Compared with headache or dizziness, neurologic abnormalities indicate that the brain has already sustained acute injury, and immediate emergency response measures must be initiated.