Based on annual physical assessments, an older adult female's blood pressure readings have changed from 120/82 to 155/86 mm Hg over the past two years. The practical nurse (PN) should recognize which factors in the client's history are likely to be associated with this finding? (Select all that apply.)

A. Leading an aerobics class typically contributes to better cardiovascular health and may not directly correlate with an increase in blood pressure. B. An increase in age is a common factor associated with an elevation in blood pressure. C. Having a body mass index (BMI) of 22, which falls within the healthy range, might not significantly contribute to a substantial increase in blood pressure. D. History of diabetes mellitus can contribute to changes in blood pressure over time. E. Hyperlipidemia, especially if poorly managed, can lead to an elevation in blood pressure.