An African American 45-year-old male has developed essential hypertension. The nurse knows which of the following is likely the biggest contributor to hypertension for this client?
1. This client is obese.
2. This client smoked for 6 months when he was 17 years old.
3. This client has a family history of obesity.
4. This client runs 4 miles per day.
This client is obese.
Rationale: African American males have a higher incidence of hypertension than Caucasians. Obesity increases the risk for hypertension. Smoking for 6 months 28 years prior will not significantly impact this client's risk for hypertension. A family history of obesity will be a risk factor, but not put the client at as high of risk as the client having obesity himself. Running 4 miles per day will decrease a client's risk factor for hypertension.
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