Final answer:
The nursing diagnosis that reflects the most serious problem in managing a client with hypertension is excess fluid volume, indicated by the client's weight gain. Managing excess fluid volume in a client with hypertension involves monitoring daily weights and fluid intake, restricting dietary sodium, and promoting diuresis.
Step-by-step explanation:
The most serious problem in managing a client with hypertension based on the given information is Excess fluid volume. This diagnosis is indicated by the client's weight gain of 5 lbs (2.3 kg) over the past 6 months. Weight gain is often associated with fluid retention, which can worsen hypertension. Fluid overload can increase blood pressure and strain the cardiovascular system, increasing the risk of complications.
To manage excess fluid volume in a client with hypertension, nursing interventions may include:
- Monitoring daily weights and fluid intake: This helps assess the client's fluid balance and identify any changes that may require intervention.
- Restricting dietary sodium: Sodium can increase fluid retention, so reducing sodium intake can help decrease fluid volume.
- Promoting diuresis: Encouraging the client to increase fluid output through measures such as increased activity and appropriate medication administration can help remove excess fluid from the body.Hypertension is a condition with chronic and persistent blood pressure measurements of 140/90 mm Hg or above. It can lead to severe health issues like aneurysms, peripheral arterial disease, chronic kidney disease, or heart failure if untreated or poorly managed. Compliance with treatment is therefore crucial to prevent these serious outcomes.