一名 45 歲高血壓病史病患因血壓 180/110 mmHg 入院，護理師應優先評估什麼？
A 45-year-old client with a history of hypertension is admitted with a blood pressure of 180/110 mmHg. The nurse should prioritize which assessment?
- AObtainment of a detailed family history取得詳細的家族病史
- BDocumentation of peripheral edema記錄周邊水腫
- CAssessment of neurological status✓ 正解評估神經狀態
- DReview of the medication administration record檢視藥物給藥紀錄
高血壓急症（Hypertensive emergency）的核心風險是靶器官損害（Target organ damage）。神經學狀態（Neurological status）的評估能立即偵測到有無高血壓腦病變（Hypertensive encephalopathy）、顱內出血或缺血性中風。腦部是最脆弱的器官，因此神經評估應列為優先。
Assessing the client's neurological status is the priority because severe hypertension poses an immediate risk of target organ damage, specifically hypertensive encephalopathy, stroke, or intracranial hemorrhage. Changes in mental status or focal deficits indicate acute cerebral involvement requiring urgent intervention. While reviewing medications and documenting edema are important, they do not address the immediate threat to brain integrity posed by the critically high blood pressure.