Medical Surgical Hypertension #6

Question

A client with stage 1 hypertension appears at the clinic for follow-up. The client’s BP is 138/88 mm Hg. The client asks why it is important to treat hypertension. What would be the nurse’s best response?

Answers

  1. “Hypertension causes relaxation and dilation of arteries which strains the heart.”
    • Rationale:

      This answer is not correct because hypertension causes stress and constriction on the arteries, not relaxation and dilation. Uncontrolled hypertension can lead to many poor outcomes, including heart disease, stroke, and kidney disease. Client’s should follow the prescribed treatment plan including exercise, dietary changes, and medication regimen, if needed, to help prevent these conditions and complications.

  2. “Hypertension if unchecked increases risk of adult onset of Type 1 Diabetes.”
    • Rationale:

      This answer is not correct because while insulin resistance and metabolic syndrome may lead to increased sympathetic activity and hypertension, it does not increase the development of insulin dependent diabetes (Type 1). Uncontrolled hypertension can lead to many poor outcomes, including heart disease, stroke, and kidney disease. Clients should follow the prescribed treatment plan including exercise, dietary changes, and medication regimen, if needed, to help prevent these conditions and complications.

  3. “Hypertension is the leading cause of death in people your age.”
    • Rationale:

      This answer is not correct because an age is not mentioned in the question, but the answer, “Hypertension is the leading cause of death in people your ageâ€, does not address the other important risks and complications. Uncontrolled hypertension can lead to many poor outcomes, including heart disease, stroke, and kidney disease. Client’s should follow the prescribed treatment plan including exercise, dietary changes, and medication regimen, if needed, to help prevent these conditions and complications.

  4. “Hypertension greatly increases your risk of stroke and heart disease.”
    • Rationale:

      This answer is correct because understanding the risks associated with hypertension is the best to the client’s question of why it is important to treat hypertension. Uncontrolled hypertension can lead to many poor outcomes, including heart disease, stroke, and kidney disease. Client’s should follow the prescribed treatment plan including exercise, dietary changes, and medication regimen, if needed, to help prevent these conditions and complications. Clients with Stage 1 hypertension may progress to Stage 2 unless lifestyle changes are taken to control the blood pressure. Anti-hypertensive medications may be added to help maintain a healthy blood pressure to reduce the risks associated with elevated blood pressure. Follow-up is needed to assure the client is responding to the treatment plan and appropriate adjustments made, if necessary.

Overview

Uncontrolled hypertension can lead to many poor outcomes, including heart disease, stroke, and kidney disease. Clients should understand the importance of treating hypertension because uncontrolled hypertension can cause serious conditions, such as stroke and heart disease.

Explanation

Learning Outcomes

Uncontrolled hypertension can lead to many poor outcomes, including heart disease, stroke, and kidney disease. Client’s should follow the prescribed treatment plan including exercise, dietary changes, and medication regimen, if needed, to help prevent these conditions and complications. Clients with Stage 1 hypertension may progress to Stage 2 unless lifestyle changes are taken to control the blood pressure. Anti-hypertensive medications may be added to help maintain a healthy blood pressure to reduce the risks associated with elevated blood pressure. Follow-up is needed to assure the client is responding to the treatment plan and appropriate adjustments made, if necessary.

Test Taking Tip

Hypertension is considered the “silent killer” because many are not aware they have it. Assessment of blood pressure is very important to watch for the gradual elevation of blood pressure which can point to prehypertension or other levels, which need to be treated.

Video Rationale