Question

A registered nurse is teaching a nursing student about when a client with high blood pressure should follow up with the primary healthcare provider. Which statement made by the nursing student indicates effective learning?
A. "I will advise a client with a blood pressure of 130/80 mm Hg to follow up in a year."
B. "I will advise a client with a blood pressure of 110/70 mm Hg to follow up in a year."
C. "I will advise a client with a blood pressure of 150/90 mm Hg to follow up in a month."
D. "I will advise a client with a blood pressure of 185/115 mm Hg to follow up in a month."

Answer 1

Answer:

A. "I will advise a client with a blood pressure of 130/80 mm Hg to follow up in a year."

Explanation:

The normal blood pressure value is 120/80

A value of 130/80 could be the stage 1 of hypertension (high blood pressure). As this is the very limit, the client should check his/her blood pressure frequently in order to know if this progress to an hypertension or it is mainteined in the limit value.

The blood pressure chart:

                                   Systolic               Diastolic

Hypotension                 <80          or          <60

Normal                          80-120     and       60-80  

Pre-hypertension         120-139    or          80-89

Hypertension level I     140-159   or           90-99

Hypertension level II    160 or above   or  100 or above

Hypertensive Crisis      >180                 or   >110