The clinic nurse measures the client's blood pressure and obtains a reading of 144/82. The client's baseline blood pressure has been normal. For what factors would the nurse assess the client based on the current blood pressure reading?
1. Diet
2. Medication history
3. Activity
4. History of recent symptoms of hypertension
5. Recent stress factors the client has experienced
Correct Answer: 1,2,3,5
The client's diet should be assessed because foods high in sodium could elevate the systolic pressure mildly. The nurse should also assess the client's medication history and activity, as these can impact blood pressure. There is not likely to be a history of symptoms of hypertension, because borderline hypertension usually does not cause symptoms. The client's exposure to stress such as financial pressures and family issues can cause an elevation in systolic pressure.
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