6 Hypertension Nursing Care Plans

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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 due to 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 Plans

Nursing care planning goals for hypertension include lowering or controlling blood pressure, adherence to the therapeutic regimen, lifestyle modifications, and prevention of complications.

Here are six nursing diagnoses for hypertension nursing care plans

  1. Risk for Decreased Cardiac Output
  2. Decreased Activity Tolerance
  3. Acute Pain
  4. Ineffective Coping
  5. Overweight
  6. Deficient Knowledge
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Decreased Activity Tolerance

Another nursing diagnosis for hypertension is Decreased Activity Tolerance, which frequently occurs due to alterations in cardiac output and side effects of antihypertensive medications. 

Nursing Diagnosis

  • Decreased Activity Tolerance [Current guidelines changed the diagnostic label of Activity Intolerance to Decreased Activity Tolerance]

Related Factors

The following are the common related factors for the nursing diagnosis activity intolerance:

Defining Characteristics

The common assessment cues could serve as defining characteristics or part of your “as evidenced by” in your diagnostic statement.

  • Verbal report of fatigue or weakness
  • Abnormal heart rate or BP response to activity
  • Exertional discomfort or dyspnea
  • Electrocardiogram (ECG) changes reflecting ischemia; dysrhythmias

Desired Outcomes

Common goals and outcomes for activity intolerance:

  • Patient will participate in necessary/desired activities.
  • Patient will use identified techniques to enhance activity tolerance.
  • Patient will report a measurable increase in activity tolerance.
  • Patient will demonstrate a decrease in physiological signs of intolerance.

Nursing Assessments and Rationales

The following are nursing assessments to address activity intolerance related to generalized weakness.

1. Note the presence of factors contributing to fatigue (age, frail, acute or chronic illness, heart failure, hypothyroidism, cancer, and cancer therapies).
Fatigue affects both the client’s actual and perceived ability to participate in activities.

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2. Evaluate the client’s actual and perceived limitations or degree of deficit in light of usual status.
Provides comparative baseline and provides information about needed education and interventions regarding the quality of life.

3. Assess the patient’s response to activity.
Noting pulse rate more than 20 beats per min faster than resting rate; marked increase in BP during and after activity (systolic pressure increase of 40 mm Hg or diastolic pressure increase of 20 mm Hg); dyspnea or chest pain; excessive fatigue and weakness; diaphoresis; dizziness or syncope. The stated parameters help assess physiological responses to the stress of activity and, if present, are indicators of overexertion.

4. Assess emotional and psychological factors affecting the current situation.
Stress or depression may be increasing the effects of an illness, or depression might be the result of being forced into inactivity.

Nursing Interventions and Rationales

In this section are therapeutic nursing interventions to address activity intolerance nursing diagnosis.

1. Instruct patient in energy-conserving techniques (using a chair when showering, sitting to brush teeth or comb hair, carrying out activities at a slower pace).
Energy-saving techniques reduce energy expenditure, thereby assisting in the equalization of oxygen supply and demand.

2. Encourage progressive activity and self-care when tolerated. Assist as needed.
Gradual activity progression prevents a sudden increase in cardiac workload. Providing assistance only as needed encourages independence in performing activities.

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Cardiac Care Plans

Nursing care plans about the different diseases of the cardiovascular system:

 

Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Finding help online is nearly impossible. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively.

12 thoughts on “6 Hypertension Nursing Care Plans”

  1. Real i like the website as i’m a nursing student third year, i wish if could get an app from play store for Android, “Nurseslabs.com” with this materials care plans for different medical conditions to guide on caring patients according to standard and finally saving life of many patients through competence and experience.👊🙏

    Reply
  2. Hi! Its really helpful but couldn’t find any nursing interventions as assessments are not considered as an intervention!! Just a request if you could add some nursing interventions for hypertension, it’ll be great. Thank you.

    Reply
  3. I love your website and info provided. Please make an App for my phone/tablet as I am a PACE RN CM and could really use it for in the field.

    Reply
  4. I always run to you. Thank you so much.
    I’m kindly requesting you to help us with more of the nursing interventions for the different nursing diagnoses of this condition plus those of other conditions in the different care plans. May God bless you exceedingly and abundantly.

    Reply

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