Your nursing care planning guide that includes 6 nursing diagnosis for hypertension (HTN). Get to know the common nursing diagnosis for hypertension, nursing assessment, nursing interventions and rationale, including teaching and goals.
What is Hypertension?
Hypertension is the term used to describe high blood pressure. Hypertension is repeatedly elevated blood pressure exceeding 140 over 90 mmHg. It is categorized as primary or essential (approximately 90% of all cases) or secondary, which occurs as a result of an identifiable, sometimes correctable pathological condition, such as renal disease or primary aldosteronism.
Classifications of Hypertension
The American College of Cardiology and American Heart Association published new guidelines (as of 2018) and ways to categorize blood pressure.
- Normal: Less than 120/80 mmHg;
- Elevated: Systolic between 120-129 and diastolic less than 80;
- Stage 1: Systolic between 130-139 and diastolic 80-89
- Stage 2: Systolic 140 or higher and diastolic at 90 or higher.
- Hypertensive Crisis: Higher than 180 for systolic and diastolic higher than 120.
Nursing care planning goals for hypertension includes focus on lowering or controlling blood pressure, adherence to the therapeutic regimen, lifestyle modifications, and prevention of complications.
Here are six (6) nursing diagnosis for hypertension nursing care plans:
- Risk for Decreased Cardiac Output
- Activity Intolerance
- Acute Pain
- Ineffective Coping
- Imbalanced Nutrition: More Than Body Requirements
- Deficient Knowledge
- Other Nursing Care Plans
Other Nursing Diagnoses
Other possible nursing diagnosis for hypertension that can be used for your nursing care planning:
- Therapeutic Regimen: ineffective management: result of the complexity of the therapeutic regimen, required lifestyle changes, side effects of medication, and frequent feelings of general well-being.
- Sexuality Patterns, ineffective: interference in sexual functioning may occur because of activity intolerance and side effects of medication.
- Family Coping: readiness for enhanced: opportunity exists for family members to support patient while reducing risk factors for themselves and improving quality of life for family as a whole.
- Noncompliance with therapeutic regimen related to side effects of prescribed therapy.
References and Sources
Recommended references and sources for this hypertension nursing care plan guide:
- Arbour, R. (2004). Intracranial hypertension monitoring and nursing assessment. Critical Care Nurse, 24(5), 19-32. [Link]
- Black, J. M., & Hawks, J. H. (2009). Medical-surgical nursing: Clinical management for positive outcomes (Vol. 1). A. M. Keene (Ed.). Saunders Elsevier. [Link]
- Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2016). Nurse’s pocket guide: Diagnoses, prioritized interventions, and rationales. FA Davis. [Link]
- Gulanick, M., & Myers, J. L. (2016). Nursing Care Plans: Diagnoses, Interventions, and Outcomes. Elsevier Health Sciences. [Link]
- Hamilton, G. A. (2003). Measuring adherence in a hypertension clinical trial. European Journal of Cardiovascular Nursing, 2(3), 219-228. [Link]
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Cardiac Care Plans
Nursing care plans about the different diseases of the cardiovascular system:
- Angina Pectoris (Coronary Artery Disease) | 4 Care Plans
- Cardiac Arrhythmia (Digitalis Toxicity) | 3 Care Plans
- Cardiac Catheterization | 4 Care Plans
- Cardiogenic Shock | 5 Care Plans
- Congenital Heart Disease | 5 Care Plans
- Heart Failure | 16+ Care Plans
- Hypertension | 6 Care Plans
- Hypovolemic Shock | 4 Care Plans
- Myocardial Infarction | 7 Care Plans
- Pacemaker Therapy | 7 Care Plans