A nurse is reinforcing health screening education with a group of clients. The nurse should recognize that which of the following clients has the greatest risk for hypertension?

A. A female client who is 44-years-old is incorrect because hypertension risk increases with age, and females under 45 generally have a lower risk compared with older adults and certain high-risk ethnic groups. B. A client who is African American is correct because African American adults have a significantly higher prevalence of hypertension compared with other ethnic groups. Genetic factors, socioeconomic determinants, and higher rates of salt sensitivity contribute to this increased risk. C. A male client who is 53-years-old is incorrect because while age and male sex do increase hypertension risk, African American ethnicity is a stronger independent risk factor than age alone in this context. D. A client who is of Asian ethnicity is incorrect because, although some Asian populations have hypertension risk, the overall prevalence and severity are lower compared with African Americans.