Question

The nurse is assessing a client new to the clinic. Records brought to the clinic show that the client's hypertension has not improved. What contributing factor should the nurse first explore in an effort to identify the cause of the client's inadequate BP control?

a. Progressive target organ damage
b. Possibility of medication interactions
c. Lack of adherence to prescribed drug therapy
d. Possible heavy alcohol use or use of recreational drugs

Answer 1

The nurse should first investigate the potential lack of adherence to prescribed drug therapy to understand why the client's hypertension has not improved.

Step-by-step explanation:

When assessing a client whose hypertension has not improved, a nurse should first explore the possibility of lack of adherence to prescribed drug therapy. This is a common issue that can significantly impact blood pressure control and can be due to various reasons such as forgetfulness, side effects, or misunderstanding the dosage instructions. Before considering potential medication interactions, heavy alcohol use, or progressive target organ damage, it is essential to ensure that the patient has been consistently following the treatment plan. This is because non-adherence immediately impacts blood pressure management and is often an easily modifiable factor.