A client's blood pressure us144/82 which is higher than the usual baseline which has been normal. For what factors should the nurse assess the client based on the current blood pressure reading?
1. Diet
2. Medication history
3. Activity
4. History of recent symptoms of hypertension
5. Recent stress factors the client has experienced
1, 2, 3, 5
Rationale 1: The client's diet should be assessed because foods high in sodium could elevate the systolic pressure mildly.
Rationale 2: The nurse should assess the client's medication history as this can impact blood pressure.
Rationale 3: The nurse should assess the client's activity as this can impact blood pressure.
Rationale 4: There is not likely to be a history of symptoms of hypertension, because borderline hypertension usually does not cause symptoms.
Rationale 5: The client's exposure to stress such as financial pressures and family issues can cause an elevation in systolic pressure.
Global Rationale: The client's diet should be assessed because foods high in sodium could elevate the systolic pressure mildly. The nurse should also assess the client's medication history and activity, as these can impact blood pressure. There is not likely to be a history of symptoms of hypertension, because borderline hypertension usually does not cause symptoms. The client's exposure to stress such as financial pressures and family issues can cause an elevation in systolic pressure.
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