The nurse is assessing a client with a diagnosis of hypertension. The client's blood pressure is 178/88, an increase from 134/78 at the previous clinic visit. The nurse asks the client what has changed from the previous visit. Which client statement identifies a potential factor interfering with the plan of care?
A) My husband has been ill and I don't have anyone to help me care for him.
B) I have learned to prepare foods differently so they are low in fat.
C) My neighbor walks with me around the neighborhood every morning.
D) I have been taking my hydrochlorothiazide (HydroDIURIL) every day.

Question

Quizplus · Accepted Answer

The client's statement about her husband being ill and not having anyone to help her care for him indicates a potential source of stress, which could be contributing to her elevated blood pressure. Stress can interfere with blood pressure management, so it is important for the nurse to further assess and address this issue with the client. The other statements suggest positive changes in the client's lifestyle that should support blood pressure control, such as dietary modifications, exercise, and medication adherence.

The Nurse Is Assessing a Client with a Diagnosis of Hypertension