A client has two BP readings of and at a community screening event. The client smokes and has "some sort of eye disease like my grandma had" plus the client states, "I might have high sugar"
The most appropriate action by the nurse would be to (Select all that apply) a. advise the client to return tomorrow for repeat blood pressure readings.
b. arrange for the client to be seen at a local urgent care center today.
c. inform the client about the high risk of developing hypertension.
d. tell the client that the blood pressure readings are not considered high.
e. work with the client to identify risk factors and create a plan to address them.
C, E
This client's BP readings fall into the pre-hypertensive state. However, the client has several risk factors for target organ damage, including eye disease, which may be a retinopathy, and the pos-sibility of diabetes. For this client, the risk of developing full-blown hypertension is twice the risk of someone whose readings are in the normal range. The nurse should work with the client to identify risk factors for hypertension and develop a plan to address them. Instead of returning to the screening the next day, the nurse should encourage the client to find a primary care provider or to see a primary care provider the client already knows. The client does not need urgent care.
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