Question

I need a care plan for a patient who suffers from hypertension. Please list nursing diagnosis, desired outcome, nursing intervention and evaluation of patient.

Answer 1

1) Diagnosis

Risk for decreased cardiac output releated to increase in vascular resistance as evidenced by continous hypertensive readings .

Desired outcome / goal

​​​​​​To maintain the blood pressure in a individually acceptable range

intervention

Assess the risk factors as well as condition that stress the heart

Educate client to participate in activities that reduces blood pressure or cardiac work load

Educate relaxation techniques ,guided imagery and ,distractions  

Educate the technique of self monitoring of BP

Administer medication as advised by the physician eg : beta blockers

Evaluation

Client is maintaining the blood pressure with in the normal range limit

2)Diagnosis

Activity intolerance releated to generalized weakness as evidenced by abnormal hear rate or Blood pressure response to physical activity

Desired outcome / Goal

To demonstrate a decrease in physiological signs of intolerance

Intervention

Assess the factors which are responsible for generalized weakness

Monitor the patient response to activity by noting pulse and blood pressure

Educate energy conserving techniques to the client eg: chair while showering

Encourage progressive activity and self care when tolerated

Evaluation

Patient reports a measurable increase in activity tolerance

3) Diagnosis

Knowledge deficit releated to disease process and treatment regimen as evidenced by denial of diagnosis

Desired outcome / goal

Client should verbalize knowledge of disease process and treatment regimen

Intervention

Identify patient readiness and ability to learn

Encourage patient to ask frequent question

Provide patient with information concerning disease process including risk factors, complication and treatment regimen

Evaluation

Patient develop knowledge regarding disease condition and asking questions for clarification .