Assess for end-organ damage → renal and neuro status
Assess for CV changes
Nursing Case Study for Hypertension
Name: Sarah Williams
Medical History: Obesity, Sedentary Lifestyle, Family History of Hypertension
Occupation: Office Administrator
Sarah visits the primary care clinic for a routine check-up. She has been feeling fatigued lately and has been experiencing occasional headaches. Her blood pressure readings at home have been consistently high.
Cardiovascular: No murmurs or irregular heart sounds, capillary refill time <2 seconds.
Respiratory: Clear lung sounds bilaterally.
Weight: BMI of 32 (obese).
Blood Pressure Monitoring: Continuously monitor Sarah's blood pressure and document the readings.
Lifestyle Assessment: Conduct an in-depth assessment of Sarah's lifestyle, diet, and physical activity level to identify modifiable risk factors for hypertension.
Education: Educate Sarah about hypertension, its causes, potential complications, and the importance of lifestyle modifications for better blood pressure control.
Weight Management: Develop a weight management plan with Sarah, emphasizing a balanced diet and regular exercise to promote weight loss and improve overall health.
Plan of Care:
Monitor Sarah's blood pressure at every clinic visit and encourage home blood pressure monitoring.
Educate Sarah about hypertension and the significance of lifestyle changes and medication adherence.
Prescribe appropriate antihypertensive medications and ensure Sarah understands how and when to take them.
Schedule follow-up appointments to evaluate her progress and make necessary adjustments to the plan.
With diligent monitoring and a comprehensive care plan, Sarah's blood pressure begins to decrease over time. She successfully implements lifestyle modifications, loses weight, and manages her hypertension effectively. Through ongoing support and education, Sarah gains the knowledge and tools necessary to maintain her blood pressure within a healthy range, leading to improved overall health and reduced risk of hypertension-related complications.
Conclusion and Free Download
This hypertension review provides essential knowledge for approaching the NCLEX with confidence. Understanding symptoms, interventions, and considerations related to hypertension is crucial for delivering exceptional patient care as a nurse.
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