An elderly client comes to the clinic after checking his blood pressure several times in the local discount store. The nurse checks the blood pressure and finds that it is 146/80. What should the nurse say to this client?
1. "Having blood pressure a little high is normal at your age. Yours is fine."
2. "I'll recheck this in a while, but your systolic pressure is too high."
3. "We'll wait and see what the doctor says, but I doubt he will be concerned."
4. "You should be on medicine for high blood pressure."
Correct Answer: 2
Rationale 1: Current evidence indicates that a systolic pressure of greater than 140 mm Hg is as problematic in older adults as in younger ones and should be treated.
Rationale 2: Isolated systolic hypertension was considered to be "normal" in older adults and was frequently not treated. Now, evidence indicates that a systolic pressure of greater than 140 mm Hg is as problematic in older adults as in younger ones and should be treated.
Rationale 3: Current evidence indicates that a systolic pressure of greater than 140 mm Hg is as problematic in older adults as in younger ones and should be treated.
Rationale 4: It would be up to the physician or primary care provider whether or not to treat. The nurse does not make this decision.
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