1. DIREDAWA UNIVERSITY COLLAGEOF MEDICENE
AND HEALTH SCIENCE DEPARTMENT OF NURSING
MSN GROUP ASSIGNMRNT
BY 3ND YEAR STUDENTS
Sub date: April 13
Sub to: inst Yonatan s
2. HYPERTANTION
Hypertension is the term used to describe high blood pressure. Hypertension is repeatedly elevated
blood pressure exceeding 140 over 90 mmHg.
3. Hypertension Nursing Diagnosis And Care plan
NURSING DIAGNOSIS
Acute pain related to Increased cerebral vascular pressure as evidenced by patient verbalization.
EXPECTED OUTCOME
Patient will report relief of pain with in 2-3 hours.
Patient will follow prescribed pharmacological regimen.
Patient will demonstrate use of relaxation skills and diversional activities.
4. NURSING INTERVENTION
Encourage and maintain bed rest during the acute phase.
Provide or recommend nonpharmacological measures to relieve headache such as cold compression.
Administer medications as indicated:
Analgesics; Reduce or control pain
5. NURSING DIAGNOSIS
Decreased Activity Tolerance related to Imbalance between oxygen supply and demand as evidenced by
dyspnea.
EXPECTED OUTCOME
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.
6. NURSING INTERVENTION
Instruct patient in energy-conserving techniques .
Encourage progressive activity and self-care when tolerated.
Encourage to the patient to have gradual activity progression to prevent increase in cardiac
overload.
Monitor vital signs before, during and after activities.
7. POTENTIAL NURSING DIAGNOSIS
Risk for decreased cardiac output related to inadequate oxygenated blood pumped by
the heart to meet metabolic demands.
EXPECTED OUTCOME
stable in the cardiac rate and rhythm
Maintain blood pressure within an acceptable range.
Engage in interventions to help decrease cardiac load and blood pressure
8. NURSING INTERVENTION
Assess vital signs, focusing on blood pressure and pulses and record.
Check blood pressure readings on arms and thighs and record.
Advise the patient to limit intake of food high in sodium and cholesterol.
Encourage patient to be vigilant in the intake of his maintenance medications.
Give prescribed predication (diuretic furosemide (Lasix); ethacrynic acid (Edecrin);
bumetanide (Bumex), torsemide (Demadex).
Alpha, beta, or centrally acting adrenergic antagonists: doxazosin
(Cardura); propranolol (Inderal); acebutolol (Sectral); metoprolol (Lopressor)
