Hypertension is also called high blood pressure. It is really a common problem among people nowadays. With the influence of the environment and lifestyle coupled with genetics, hypertension is really a common nursing problem. Each case of hypertension may involve different ways of treatment; however, the major goal is to prevent an increase in the blood pressure as well as its complications.

High blood pressure is a condition wherein there is an abnormal increase of blood pressure probably caused by lifestyle such as smoking, being obese, acquiring diabetes, lack of physical activity as well as higher levels of intake of salt in the diet. The normal blood pressure is between 90-120 / 60-90. Hypertension happens when the arteries on the heart are blocked causing the heart to pump blood harder.

Hypertension can either be primary or secondary hypertension. The difference between primary and secondary hypertension is the origin of the presence of hypertension. When the cause of this episode could not be traced, then it is primary hypertension, while secondary hypertension has a reason, for instance, it can be caused by a defective kidney or use of birth control pills.

Nursing Care Plan for Hypertension

Nursing Care Plan for Hypertension Full Tex

Nursing Diagnosis

Risk for decreased cardiac output related to increased vascular vasoconstriction


Subjective Data: “I do not really feel well, right now. My blood pressure is always high and I feel light-headed when I suddenly move.” as claimed by patient.

Objective Data: 

  • Pale in color
  • Skin cool and moist to touch
  • Jugular vein can be easily seen and bounding upon palpation
  • Verbalized lightheadedness on a sudden change of position
  • Easy fatigability and occasional dyspneic occurrences upon exertion
  • Blood pressure ranging from 140/90 to 150/100 mmHg, BP as of 6:00 A.M. 04/17/12 is 150/90 mmHg
  • A pulse rate of 110 beats per minute as of 6:00 A.M. 04/17/12
  • Capillary refill of 2-3 seconds

Patient Outcomes

Outcome Identification:

  1. The patient will participate in activities that reduce cardiac workload by 04/18/12.
  2. The patient will maintain blood pressure within an acceptable range by 04/19/12.
  3. The patient will demonstrate stable cardiac rhythm and rate within patient’s normal range by 04/19/12.

Nursing Interventions


Monitor blood pressure periodically. Measure both arms three times; 3-5 mins apart while the patient is at rest for initial evaluation.


A comparison of pressures provides a more complete picture of vascular involvement.


Please refer to the Patient Outcomes


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