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HTN, Nursing Interventions: Teach client DASH Diet Teach client importance of BP monitoring Assess Clients BP a min of q 8h. Wt reduction Sodium reduction regular exercise program Administration of HTN meds. Stress management Avoidance of tobacco Medical Diagnosis Hypertension Signs & Symptoms: Asymptomatic until target organ damage has occured. May experience fatigue, reduced activity tolerance, dizziness, palpitations, angina, and dyspnea., Nursing Interventions: Teach client DASH Diet Teach client importance of BP monitoring Assess Clients BP a min of q 8h. Wt reduction Sodium reduction regular exercise program Administration of HTN meds. Stress management Avoidance of tobacco Medical Diagnosis Hypertension Pathophysiology: The hemodynamic mark of HTN is persistently increased systemic vascular resistance. It is signified by a systolic pressure of greater than or equal to 140 and a diastolic pressure of greater than or equal to 90., Nursing Interventions: Teach client DASH Diet Teach client importance of BP monitoring Assess Clients BP a min of q 8h. Wt reduction Sodium reduction regular exercise program Administration of HTN meds. Stress management Avoidance of tobacco Medical Diagnosis Hypertension Diagnostic Procedures & Medications: Routine UA, BUN, serum creatinine levels to screen for renal improvement. Serum electrolytes, esp K to detect hyperaldosteronism. BS to assesss for DM, Lipid profile, ECG. BP monitoring Meds: Angiotensin inhibitors, Angoitensin II receptor inhibitors, Calcium channel blockers, Beta adrenergic blockers, Diuretics: thiazide, and potassium sparing ACE Inhibitors., Nursing Interventions: Teach client DASH Diet Teach client importance of BP monitoring Assess Clients BP a min of q 8h. Wt reduction Sodium reduction regular exercise program Administration of HTN meds. Stress management Avoidance of tobacco Medical Diagnosis Hypertension Complications: Heart disease, CVD, PVD, MI, Stroke, kidney disease, and retinal damage., Nursing Interventions: Teach client DASH Diet Teach client importance of BP monitoring Assess Clients BP a min of q 8h. Wt reduction Sodium reduction regular exercise program Administration of HTN meds. Stress management Avoidance of tobacco Medical Diagnosis Hypertension Risk Factors: Age: after age 50, excessive alcohol intake, cigarette smoking, DM, elevated serum lipids, excess dietary Na. Gender: more predominant in men. Family history, obesity, ethnicity (2x's as high in African Americans), Sedentary lifestyle, socioeconomic status, more prevalent in poorer groups and less educated, stress, renal failure,, Nursing Interventions: Teach client DASH Diet Teach client importance of BP monitoring Assess Clients BP a min of q 8h. Wt reduction Sodium reduction regular exercise program Administration of HTN meds. Stress management Avoidance of tobacco Medical Diagnosis Hypertension Possible Nursing Dx: Ineffective Health maintanence Anxiety Sexual dysfunction Ineffective therapeutic regimen Disturbed body image Ineffective tissue perfusion