At a routine checkup, a 40-year-old female client who has had type 1 diabetes for 5 years has a blood pressure reading of 180/110; previous blood pressure readings have been within a range of 120/80 to 130/85
What nursing interventions would be appropriate for this client?
The following are suggested guidelines for grading:
The nurse should retake the client's blood pressure several times to verify that the initial elevated reading is accurate, ask the client about experiencing any symptoms of elevated blood pressure, and then review any changes in the client's lifestyle, such as dietary compliance, exercise patterns, and presence of any psychological stressors. The nurse might consider obtaining a urine specimen to test for the presence of albumin, and if present, review pathophysiological changes of diabetes that affect the circulatory and renal systems with the client.
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