Certified Emergency Nurse (CEN) Practice Test 2025 - Free CEN Practice Questions and Study Guide

In managing end organ dysfunction related to blood pressure, the primary goal is to carefully and effectively reduce hypertension to alleviate stress on the organs affected. The correct approach is to reduce blood pressure gradually, typically by 15-20% over the first hour, as this helps to prevent further damage to vital organs while minimizing the risk of complications that can arise from rapid drops in blood pressure.

This method allows for proper perfusion of the organs and ensures that the blood flow is adequate without risking ischemia, which can occur if blood pressure is lowered too quickly. By aiming for controlled and gradual reduction, healthcare providers can maintain a balance that supports the patient’s overall stability and promotes recovery.

Other options do not provide a suitable or safe strategy for managing end organ dysfunction. Immediate or excessive reductions in blood pressure, such as a drastic 50% drop, can lead to inadequate perfusion and worsen organ dysfunction. Similarly, simply maintaining blood pressure without alteration could neglect the underlying issues causing the end organ dysfunction, putting the patient at risk for further deterioration.