Nurse’s Notes 0809: Client called nurse to report increase…

Nurse’s Notes 0809: Client called nurse to report increased numbness, tingling, and pain to bilateral lower extremities. It seems to “get better” when they stop activity and rest. Upon inpection, there is sparse hair throughout bilateral lower extremities and capillary refill is sluggish at 5 seconds. Reddish/blue hue to bilateral feet.  – Julia Hernandez, RN Based upon the nurse’s notes, what is the condition the client is most likely experiencing? 

Nurses Notes Health History 1015: Blood pressure (BP) toda…

Nurses Notes Health History 1015: Blood pressure (BP) today is 154/92 mm Hg in the right arm, 150/90 mm Hg in the left arm, 158/92 mm Hg in the right leg, and 156/94 mm Hg in the left leg. Height is 70 in. (177.8 cm). Other vital signs: heart rate, 72 beats/min; respiratory rate, 16 breaths/min. Weight is 210 lb. (95.26 kg). Client reports occasional early morning headaches. No report of back or abdominal pain. Peripheral pulses are strong, and no edema is noted. Lungs are clear. Normal S1 and S2 heart sounds are noted, with no extra heart sounds noted. Waist circumference is 42 in. (106.68 cm). – Grey, RN Asthma treated with albuterol 2 inhalations every 4 hours as needed. Hyperlipidemia treated with atorvastatin 20 mg once daily. Reports that father and one brother have hypertension. Reports smoking ½ pack of cigarettes per day for 30 years.  Has 1 to 2 alcoholic beverages on weekends.  States lifestyle is sedentary, does not engage in regular exercise.  Likes fried and processed foods and eats most lunches at fast food restaurants while at work. The nurse is developing a plan of care for this client. What potential complication(s) of hypertension should the plan of care address? Select all that apply. (There are 4 correct responses)