What should be the first nursing intervention for a patient with a history of hypertension who is exhibiting increased anxiety and restlessness during hospitalization?

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In the context of a patient with a history of hypertension who is showing increased anxiety and restlessness, the appropriate first nursing intervention focuses on assessing the patient’s overall condition and potential contributing factors to their symptoms. One critical aspect in this situation is understanding whether the patient has a history of alcohol use, as withdrawal from alcohol can lead to increased anxiety, restlessness, and other physical symptoms.

Asking the patient about the last drink of alcohol establishes a baseline for assessing the risk of alcohol withdrawal syndrome, which can exacerbate anxiety and elevate blood pressure, further complicating the management of hypertension. This inquiry can prompt necessary interventions to address withdrawal symptoms and provide a comprehensive approach to the patient's care, which might include medical management or supportive measures.

While assessing vital signs, providing reassurance, or notifying the physician are all important steps in patient management, the identification and management of possible alcohol withdrawal should take precedence in this scenario as it addresses a potentially acute and life-threatening component of the patient’s condition.

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