The nurse assesses which of the following clients as being at greatest risk for hypertension?
1. The female adolescent African-American
2. The Caucasian middle-aged adult who smokes
3. The Caucasian woman with central obesity who consumes 2-3 drinks per day
4. The African-American woman who enjoys traditional cultural foods and is overweight
4
Rationale: The client at greatest risk, according to research, is the African-American woman whose risk is greatest without other risk factors; adding in the risk factors of increased weight and the high fat and salt content found in traditional foods of her culture make the risk even greater. The adolescent is at lower risk because of her age; lifestyle choices would need to be assessed. Caucasian men and women frequently develop hypertension, but are at lower risk than African Americans.
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