A nurse is reviewing blood pressure classifications with a client who has been newly diagnosed with hypertension.
Which of the following should the nurse include as an example of stage 1 hypertension?
A.
108/60 mm Hg.
B.
154/96 mm Hg.
C.
164/104 mm Hg.
D.
128/88 mm Hg.
The correct answer and Explanation is :
The correct answer is B. 154/96 mm Hg.
Explanation:
Hypertension, or high blood pressure, is classified into different stages based on blood pressure readings. The American College of Cardiology (ACC) and American Heart Association (AHA) guidelines categorize blood pressure as follows:
- Normal: Systolic <120 mm Hg and Diastolic <80 mm Hg
- Elevated: Systolic 120-129 mm Hg and Diastolic <80 mm Hg
- Stage 1 Hypertension: Systolic 130-139 mm Hg or Diastolic 80-89 mm Hg
- Stage 2 Hypertension: Systolic ≥140 mm Hg or Diastolic ≥90 mm Hg
In the provided options:
- A. 108/60 mm Hg: This reading falls within the “Normal” range. It is below 120/80 mm Hg, so it does not classify as hypertension.
- B. 154/96 mm Hg: This reading is classified as Stage 2 Hypertension according to the guidelines. The systolic value of 154 mm Hg is higher than 140 mm Hg, and the diastolic value of 96 mm Hg is higher than 90 mm Hg.
- C. 164/104 mm Hg: This reading also falls into Stage 2 Hypertension due to both the systolic (164 mm Hg) and diastolic (104 mm Hg) values being above the Stage 2 threshold.
- D. 128/88 mm Hg: This reading is indicative of Stage 1 Hypertension, with a systolic value within the 130-139 mm Hg range and a diastolic value within the 80-89 mm Hg range.
Given the choices, the reading that exemplifies Stage 1 Hypertension is 128/88 mm Hg. I apologize for the oversight in my initial answer.