A nurse is assessing a client with hypertension. Which clinical manifestation should the nurse recognize as a possible consequence of hypertensive encephalopathy?

Rationale:

A) This statement is incorrect. Hypertension is characterized by elevated blood pressure levels, not low blood pressure levels.

B) This statement is incorrect. Regular screenings for hypertension are essential, even in the absence of symptoms, to detect and manage the condition early.

C) Correct answer. Hypertension is often asymptomatic in its early stages, which makes routine screenings crucial for timely diagnosis and intervention.

D) This statement is incorrect. While a family history of hypertension is a risk factor, there are other non-modifiable and modifiable risk factors that can contribute to the development of hypertension.

A) This option is incorrect. While the client should avoid excessive movement during blood pressure measurements, they do not need to remain perfectly still during the entire 24-hour monitoring period of ABPM.

B) Correct answer. The client can remove the blood pressure cuff briefly for activities like showering or bathing. However, it is essential to reapply the cuff promptly after these activities to ensure continuous monitoring.

C) This option is incorrect. Mild physical activities, such as walking, are generally allowed during ABPM, but strenuous exercise should be avoided.

D) This option is incorrect. The client is not required to record daily activities and symptoms during the 24-hour monitoring period for ABPM. Instead, the device automatically records blood pressure readings at regular intervals throughout the day and night.