Hypertension and Nursing Care Plan


Hypertension is a sustained elevation of blood pressure. Hypertension is a major contributor to cardiac disease, CVA, and renal failure. There are two types of hypertension, Primary (idiopathic, essential) or secondary. Primary is the most common.

Signs and Symptoms:

  • Headache
  • Heart failure
  • CVA or TIA
  • Chest pain
  • Shortness of breath
  • Renal failure
  • Eye damage
  • Aneurysms
  • Nausea
  • Vomiting
  • Blurred vision
  • Dizziness

Nursing Diagnosis:

Knowledge Deficit r/t lack of knowledge for frequent blood pressure checks, adherence to antihypertensive therapy and lifestyle changes. Client verbalizes statement of misinformation.

Expected outcomes:

Client able to state correct use of prescribed medications, including adverse reactions and when to call MD for significant side effects.

Client able to state early manifestations of signs and symptoms of hypertension.

Advise client of prescription medication actions, dosage, and side effects. Include taking all medications as prescribed. Empowering the client with a knowledge base regarding his/her prescription medication lowers morbidity and mortality risks and can improve client outcomes.
Emphasize the need for a peaceful environment free from stressors.These risk factors have been shown to contribute to hypertension and cardiovascular and renal disease.
Discuss the importance of a low sodium diet.a moderate low-salt diet may be sufficient to control mild hypertension or reduce the amount of medication required.

Other nursing diagnosis:

Ineffective tissue perfusion

Acute Pain

Risk for decreased cardiac output

Ineffective Coping

Imbalanced nutrition


Anna C. RN-BC, BSN, PHN, CMSRN Anna began writing extra materials to help her BSN and LVN students with their studies. She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process. She is a clinical instructor for LVN and BSN students along with a critical care transport nurse.

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