A patient with newly diagnosed hypertension has come to the clinic for a follow-up visit. The patient asks the nurse why she has to come in so often. What would be the nurse's best response?
A) "We do this so you don't suffer a stroke."
B) "We do this to determine how your blood pressure changes throughout the day."
C) "We do this to see how often you should change your medication dose."
D) "We do this to make sure your health is stable. We'll then monitor it at routinely scheduled intervals."
Ans: D
Feedback:
When hypertension is initially detected, nursing assessment involves carefully monitoring the BP at frequent intervals and then at routinely scheduled intervals. The reference to stroke is frightening and does not capture the overall rationale for the monitoring regimen. Changes throughout the day are not a clinical priority for most patients. The patient must not change his or her medication doses unilaterally.
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