A 70-year-old client must have her blood pressure checked during each shift. She asks the nurse to explain her hypertension. Which of the following is an appropriate response by the nurse?
a. Older adult clients often experience hypertension because of vascular changes related to aging; this affects 50% of older adults.
b. Older adult clients often experience hypertension because of a reduction in phys-ical activity.
c. Older adult clients often experience hypertension because of ingestion of pro-cessed foods high in sodium.
d. Older adult clients often experience hypertension because of myocardial damage and venous insufficiency.
A
Although hypertension is not a normal physiological change of aging, older adults often experi-ence hypertension because of vascular changes. Vascular changes include thickening of vessel walls, narrowing of vessel lumen, and loss of vessel elasticity. Systolic or diastolic hypertension (systolic pressure >140 mm Hg, diastolic >90mm Hg) is seen in 50% of older adults.
Hypertension is not caused by a reduction in physical activity.
Older adults with hypertension should be counselled on limiting fat and salt in their diets; how-ever, ingestion of processed foods high in salt is not the reason that older adult clients often ex-perience hypertension.
Myocardial damage and venous insufficiency are not the reasons that older adults commonly experience hypertension.
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