Hypertension V: Nursing Management

The initial step in the nursing management of hypertension involves assessing the patient for headaches, cardiac disease, diabetes, previous hypertension episodes, alcohol consumption, and body mass index.

Following this assessment, a nursing diagnosis is made.

Decreased cardiac output, related to raised peripheral vascular resistance, as evidenced by elevated blood pressure readings.

The next step is to set goals to maintain blood pressure within the target range, improve patient understanding of treatments and lifestyle modifications, and implement the following interventions.

Record blood pressure using an accurate technique and observe the peripheral pulse rate and quality.

Educate the patient on activity restrictions while emphasizing the importance of calm surroundings.

Provide comprehensive education on prescribed medications, their purpose, timing, dosage, adverse effects, and the importance of treatment adherence.

Demonstrate blood pressure self-monitoring techniques, discuss dietary changes like limiting fats, salt, and sugar, advise on smoking cessation, and emphasize keeping follow-up appointments.