A client consistently has an elevated systolic BP greater than 150 mm Hg but a diastolic pressure in the 80s. The health care provider should be assessing for which of the following complications?
A) Peripheral edema in lower legs from renal disease
B) Crackles in bilateral lung bases caused by left-sided heart failure
C) Ascites due to liver damage
D) Confusion due to atherosclerosis of the carotid arteries
Ans: B
Feedback:
Systolic hypertension has been defined as a systolic pressure of 140 mm Hg or greater and a diastolic pressure of less than 90 mm Hg. Elevated pressures during systole favor the development of left ventricular hypertrophy, increased myocardial oxygen demands, and eventual left heart failure. Peripheral edema and ascites are usually associated with right-sided failure. Confusion due to blockages in carotid arteries can occur independent of hypertension.
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