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Recommendation: Immediate intervention for hypertensive crisis. Consider adjusting or administering antihypertensive medication. Evaluate the need for pain management with fentanyl. Review and possibly adjust IV fluids due to elevated potassium. Address the patient’s psychosocial concerns regarding childcare. Example Communication: “Dr. [Prescriber’s Name], this is [Your Name], the nurse caring for Ms. Selina Landy. She is currently experiencing a hypertensive emergency with a blood pressure of 180/98. She also reports severe abdominal pain at a level of 7/10 and has a palpable mass in the left upper quadrant. Her labs show elevated potassium at 5.1 mEq/L, BUN at 56, and creatinine at 2.8, with low hemoglobin and hematocrit.

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