Which of the following nursing diagnosis is the nurse most correct to choose when caring for a client with long-standing hypertension?
A) Impaired Gas Exchange
B) Activity Intolerance
C) Ineffective Tissue Perfusion
D) Risk for Decreased Cardiac Output
C
Feedback:
The nurse is most correct in choosing ineffective tissue perfusion for the client with long-standing hypertension. In hypertension, the extra work increases the size of the heart muscle. Eventually, the heart cannot meet the body's metabolic needs limiting the perfusion to the tissues. Impaired Gas Exchange, Activity Intolerance, and a Risk for Decreased Cardiac Output may occur due to the ineffective perfusion.
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