Final answer:
A priority assessment for a nurse dealing with a client with hypertension and heart failure on nifedipine would be to monitor blood pressure, heart rate, and for signs of worsening heart failure like shortness of breath, edema, and unusual fatigue, while also watching for side effects like hypotension and bradycardia.
Step-by-step explanation:
For a client with hypertension who has experienced heart failure and is receiving nifedipine (Procardia), a priority assessment for the nurse would be to monitor the client's blood pressure and heart rate. Nifedipine is a calcium channel blocker that works by relaxing the muscles of the heart and blood vessels to lower blood pressure. However, because the client has heart failure, it is critical to assess for signs of worsening heart failure such as shortness of breath, edema, and unusual fatigue. Consistent monitoring is essential since the client's compromised cardiac function can be further affected by fluctuations in blood pressure and heart rate.
Another consideration is to observe the client for potential side effects of nifedipine, such as hypotension, which could manifest as dizziness, fainting, and a feeling of lightheadedness. Since the client already has heart failure, it is crucial to ensure that the medication does not exacerbate the condition. Additionally, the nurse should be vigilant for symptoms of bradycardia, which can be a consequence of other cardiac medications that might be prescribed to the client.