Hypertensions t Cases t Stud
y
1. Thestclient'sstbloodstpressurestreadingstisst189/110stmmHg.stTheirstLDLstcholester
olstreadingstisst200stmg/dL.stTheystasksttheststudentstnursestifsttheystshouldstbestconce
rnedstaboutsttheirstbloodstpressure.
Howstshouldsttheststudentstnursestrespond?:s t Pleasestsitstherestquietlystforstastfewstminutes.stIstneedsttostrechec
kstyourstbloodstpressure
2. Theststudentstnursestasksstthestclientstaboutsttheirsthealthsthistory.stTheystarest6stftst(
182.88stcm)sttallstandsttheirstweightstisst190stlbsst(86.18stkgs).stTheyststatestthatsttheyst
havestloststastlotstofstweightstrecently.stTheystalsostreportsstexperiencingstastlotstofststre
ssstatstworkstandstthatsttheystoftenstgoesstoutstwithstthestcrewstafterstworksttosthavestsev
eralstbeers.stTheystreportstthatsttheirstmother,stwhosthadstdiabetesstmellitus,sthasstpas
sedstaway.stTheystbelievestthatstshestalsosthadsthypertension.stTheystsmokest1½stpac
ksstofstcigarettesstastdaystandstdrinksst4sttost5stcupsstofstcoffeestastday.
Whatstsignificantstriskstfactorsstforsthypertensionstdoessttheststudentstnursestidentifys
t forstthestclient,staccording sttostthissthealthsthistory?st(Selectstallstthatstapply.):st-
stAlcoholstconsumption
- Smoking
- Stress
3. Accordings t tos t thes t assessments t ofs t thiss t client,s t whichs t recommendations t iss t mos
ts t importantstforsttheststudentstnursesttostprovidesttostthestclient?:stSeesthisstHCPstasstsoonstasstpossibl
estwithinstthestneststweekstforstastBPstrecheck.
4. Whichs t iss t thes t bests t responses t thes t students t nurses t cans t gives t tos t Georges t abou
ts t thesturgentstneedsttostseesthisstHCP?:stTellstthestclientstwhilestoftensttherestarestnostsymptoms,sthighstbloodstp
ressurestdoesstcausestdamagesttostmanystorgans.
5. Astweekstlater,stthestclientsthasstanstappointmentstwithsttheirstHCP.stAfterstthestexam,stthes
tHCPstexplainssttostthestclientstthatsttheysthaveststagest2,stprimaryst(essential)sthyperte
n-stsion.
Whichs t informations t obtaineds t durings t thes t assessments t supportss t thiss t diagnosis?:
s t -
st s
t
, Hypertensions t Cases t Stud
y
Bloodstpressurestofst184/98stmmHg
st s
t
y
1. Thestclient'sstbloodstpressurestreadingstisst189/110stmmHg.stTheirstLDLstcholester
olstreadingstisst200stmg/dL.stTheystasksttheststudentstnursestifsttheystshouldstbestconce
rnedstaboutsttheirstbloodstpressure.
Howstshouldsttheststudentstnursestrespond?:s t Pleasestsitstherestquietlystforstastfewstminutes.stIstneedsttostrechec
kstyourstbloodstpressure
2. Theststudentstnursestasksstthestclientstaboutsttheirsthealthsthistory.stTheystarest6stftst(
182.88stcm)sttallstandsttheirstweightstisst190stlbsst(86.18stkgs).stTheyststatestthatsttheyst
havestloststastlotstofstweightstrecently.stTheystalsostreportsstexperiencingstastlotstofststre
ssstatstworkstandstthatsttheystoftenstgoesstoutstwithstthestcrewstafterstworksttosthavestsev
eralstbeers.stTheystreportstthatsttheirstmother,stwhosthadstdiabetesstmellitus,sthasstpas
sedstaway.stTheystbelievestthatstshestalsosthadsthypertension.stTheystsmokest1½stpac
ksstofstcigarettesstastdaystandstdrinksst4sttost5stcupsstofstcoffeestastday.
Whatstsignificantstriskstfactorsstforsthypertensionstdoessttheststudentstnursestidentifys
t forstthestclient,staccording sttostthissthealthsthistory?st(Selectstallstthatstapply.):st-
stAlcoholstconsumption
- Smoking
- Stress
3. Accordings t tos t thes t assessments t ofs t thiss t client,s t whichs t recommendations t iss t mos
ts t importantstforsttheststudentstnursesttostprovidesttostthestclient?:stSeesthisstHCPstasstsoonstasstpossibl
estwithinstthestneststweekstforstastBPstrecheck.
4. Whichs t iss t thes t bests t responses t thes t students t nurses t cans t gives t tos t Georges t abou
ts t thesturgentstneedsttostseesthisstHCP?:stTellstthestclientstwhilestoftensttherestarestnostsymptoms,sthighstbloodstp
ressurestdoesstcausestdamagesttostmanystorgans.
5. Astweekstlater,stthestclientsthasstanstappointmentstwithsttheirstHCP.stAfterstthestexam,stthes
tHCPstexplainssttostthestclientstthatsttheysthaveststagest2,stprimaryst(essential)sthyperte
n-stsion.
Whichs t informations t obtaineds t durings t thes t assessments t supportss t thiss t diagnosis?:
s t -
st s
t
, Hypertensions t Cases t Stud
y
Bloodstpressurestofst184/98stmmHg
st s
t
