A nurse is discussing modifiable risk factors for hypertension with a client. Which factor should the nurse include in the discussion?

A) This option is incorrect. Checking blood pressure once a week is insufficient for effective monitoring, as it may not provide a comprehensive view of blood pressure trends.

B) This option is incorrect. Using the arm with the highest blood pressure reading consistently is not recommended. Blood pressure should be measured in the arm with the higher reading only if there

is a significant difference between the arms.

C) This option is incorrect. To obtain accurate blood pressure readings, the client should rest for at least 5 minutes in a comfortable seated position with their feet flat on the floor and arms supported at heart level. Crossing the legs may affect blood flow and accuracy of the reading.

D) Correct answer. Recording blood pressure readings and any symptoms in a journal is essential for effective self-monitoring. It provides valuable information for the healthcare provider to assess blood pressure control and make necessary adjustments to the treatment plan.

A) Correct answer. Occasional nosebleeds are typically unrelated to hypertension and are commonly caused by dry air, nasal irritation, or other factors.

B) This option is incorrect. While nosebleeds can occur in individuals with hypertension, they are not specific to hypertension and do not necessarily indicate worsening of the condition.

C) This option is incorrect. Nosebleeds are not an early warning sign of hypertensive crisis. Severe headache, shortness of breath, and neurological symptoms are more indicative of hypertensive crisis.

D) This option is incorrect. Nosebleeds, in isolation, are not usually indicative of severe hypertension. However, chronic uncontrolled hypertension can lead to target organ damage and potentially life-threatening complications.