Nursing intervention for hypertension

A nurse uses the correct cuff size, allows a quiet rest before measurement and records readings with their context. They may ask about headaches, dizziness, chest discomfort, breathlessness, medicines, salt intake, alcohol, smoking, sleep and other conditions. One reading does not describe every day, so a series of readings may guide the plan.

Care also considers problems linked with uncontrolled blood pressure, including stroke, heart failure and chronic kidney disease. Obesity and obstructive sleep apnoea can affect the wider plan. The nurse can help identify barriers, explain how prescribed medicines work and check for unwanted effects.

Take prescribed medicine as directed and do not stop it because a reading improves. Keep a record if home monitoring has been recommended, using the same arm and a consistent position. Bring the record and medicine list to appointments. Gradual activity, a balanced eating pattern, less salty processed food, avoiding tobacco and maintaining healthy sleep can support treatment.

Call emergency services for chest pain, severe breathlessness, sudden weakness or numbness, trouble speaking, new confusion, fainting or a sudden severe headache. These symptoms can signal an emergency such as stroke or a heart problem and need prompt assessment, regardless of the number on a home monitor.

Ask how and when to measure at home, what target applies to you, what to do after a missed dose, and which medicine effects should prompt a call.