The Nurse Is Assessing a Patient Who Has Been Admitted

The nurse is assessing a patient who has been admitted to the intensive care unit (ICU) with a hypertensive emergency. Which finding is most important to report to the health care provider?

A) Urine output over 8 hours is 250 mL less than the fluid intake.
B) The patient cannot move the left arm and leg when asked to do so.
C) Tremors are noted in the fingers when the patient extends the arms.
D) The patient complains of a headache with pain at level 7 of 10 (0 to 10 scale) .