A nurse is reviewing blood pressure classifications with a group of newly licensed nurses. Which of the following is an example of stage 1 hypertension?
Explanation & Rationale
Choice A reason: A blood pressure of 118/78 mmHg is normal (systolic <120 and diastolic <80), not stage 1 hypertension (systolic 130–139 or diastolic 80–89). This is incorrect, as it does not meet the criteria for hypertension, requiring clarification for the nurses’ understanding. Choice B reason: A blood pressure of 122/80 mmHg is elevated (systolic 120–129 and diastolic <80), not stage 1 hypertension, which requires systolic 130–139 or diastolic 80–89. This is incorrect, as it falls below the threshold for stage 1 classification in hypertension guidelines. Choice C reason: A blood pressure of 132/88 mmHg falls within stage 1 hypertension (systolic 130–139 or diastolic 80–89), requiring lifestyle changes and possible medication. This is the correct example, as it accurately represents the classification for stage 1 hypertension in clinical practice. Choice D reason: A blood pressure of 162/98 mmHg indicates stage 2 hypertension (systolic ≥140 or diastolic ≥90), not stage 1. This is incorrect, as it exceeds the stage 1 range, requiring the nurse to distinguish it from the milder stage 1 classification.