A patient with chronic kidney disease is diagnosed with hypertension. The nurse understands that this patient's blood pressure needs to be controlled for which reason?
1. Treating hypertension can slow the decline of kidney function.
2. Hypertension must be controlled for any other treatment for kidney disease to be effective.
3. The medications used to treat hypertension also reverse physical changes associated with chronic kidney failure.
4. Everyone should have low-normal blood pressure.
1
Rationale 1: Management of hypertension to maintain blood pressure within normal limits prevents kidney damage. When hypertension is secondary to kidney disease, adequate blood pressure control can slow the decline of renal function.
Rationale 2: Control of hypertension is one part of the treatment for kidney disease. It is not essential to have hypertension controlled for other treatments to be effective.
Rationale 3: It is not true that medications for hypertension reverse kidney damage and failure.
Rationale 4: This concept does not apply to this patient because of the new diagnosis and the history of chronic kidney disease.
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