An older patient is upset with a blood pressure reading of 180/78 mmHg. What response by the nurse is best?
a. "It looks like you need blood pressure medicine now."
b. "Most people get hypertension when they get older."
c. "With age, blood vessels stiffen, raising blood pressure."
d. "Don't worry, there are lots of good me-dications for this."
C
With age, elastin in vessel walls decreases, making them stiffer. Systolic blood pressure (SBP) is increased in older adults because of a loss of arterial distensibility resulting from arterial stiffen-ing. The other responses do not offer any useful information on the cause of the patient's condi-tion.
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