MODIFIABLE RISK FACTORS: NON - MODIFIABLE RISK FACTORS:

-High sodium intake -Age (61 y/o)

-Psychological Stress -Family history of hypertension

Hypothalamic - pituitary -
adrenal and sympathetic -
Renal Sodium Retention Cell membrane alteration
adrenomedullar axes

Functional Constriction Structural Hypertrophy

Increased plasma and Recruitment of
ECF volume pro-inflamatory cells

Anxiety

Vascular Contriction Peripheral resistance

Altered preload and afterload

Decreased Cardiac Output

Risk for Activity related to increased in
Intolerance peripheral resistance

After 8 hours of nursing

intervention, the client will
1. Lasartan 10mg OD HYPERTENSION be able to demonstrate
2. Amlodipine 10 mg BID adequate cardiac output as
evidenced by blood
Blurred Vision pressure, pulse rate, and
rhythm within normal
parameters for the client.

Fatigue
Decreased peripheral
pulses 1. Assess heart rate and rhythm.
Pain on the nape
2. Monitor the patient's blood pressure, noting any changes or
fluctuations.
3. Check for any alterations in the level of consciousness.
Tachycardia (56 bpm)
4. Maintain adequate ventilation and perfusion by placing the client
comfortably. JOURNAL:
5. Schedule regular follow-up appointments to monitor the patient's
Nurses can help lower their patients' blood pressure by
High blood Pressure progress.
140/80 providing health teaching on high blood pressure and its
6. Facilitate communication between the patient and other healthcare
management, which includes taking medication, making dietary
providers to promote continuity of care. and lifestyle changes, exercising, controlling their weight,
7. Educate the patient about the importance of medication compliance. setting blood pressure goals, and getting social assistance
8. Ensure that the patient is aware of the importance of regular physical (Pelaj and Arslani, 2020).
activity in managing hypertension.
9. Teach stress management techniques such as deep breathing,
meditation, and progressive muscle relaxation.
10. Emphasize adopting a heart-healthy lifestyle, including a low-sodium
diet, regular exercise, and smoking cessation.

Main Journal Article:

Pelaj, B., & Arslani, N. (2020). International Journal of Sciences: Basic and Applied Research (IJSBAR). Nursing Management

of Patients with Arterial Hypertension, 52(2), 7-16. [Link]

Supporting Journals:

Abu-Baker, N. N., AbuAlrub, S., Obeidat, R. F., & Assmairan, K. (2021, January 7). BMC. Evidence-based practice beliefs and

implementations: a cross-sectional study among undergraduate nursing students.

[Link]

Carey, R. M., Muntner, P., Bosworth, H. B., & Whelton, P. K. (2018, September 11). ScienceDirect. Prevention and Control of

Hypertension: JACC Health Promotion Series, 72(11), 1278-1293. [Link]

Karaca, A., & Durna, Z. (2019, April). National Library of Medicine. Patient satisfaction with the quality of nursing care, 6(2),

535-545. [Link]

Wakefield, M. K., Williams, D. R., Menestrel, S. L., & Flaubert, J. L. (2021). NATIONAL ACADEMIES. The Future of Nursing

2020-2023. [Link] B.

(2021, October 26). THENernNURSE. Why Is Research Important in Nursing?

[Link]