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    Ati n160 hero med surg proctored exam 3

    David, a 69-year-old man, visits his primary care clinic for a routine check- up. He has no significant medical history. During the visit, his blood pressure is measured, and the nurse notes it as 140/88 mmHg. David denies any symptoms such as headaches, chest pain, shortness of breath, or dizziness. Based on his blood pressure reading and absence of symptoms, what is the most appropriate action for the nurse to take regarding David's hypertension status?

    Explanation & Rationale

    A. Administer rapid blood pressure-lowering treatment to prevent complications associated with hypertensive crisis.: BP 140/88 is not a crisis; acute lowering could be harmful. B. Disregard David's blood pressure reading as it falls within normal limits for his age, and no further action is necessary.: Hypertension thresholds are the same for older adults; this reading is not normal. C. Educate David on lifestyle modifications to lower blood pressure and schedule a follow-up appointment to monitor blood pressure.: Fits Stage 2 hypertension (≥140/90); lifestyle modification and monitoring are the first step in asymptomatic clients without comorbidities. D. Initiate antihypertensive medication immediately and refer David to a hypertension specialist.: Immediate medication initiation is not indicated unless persistent elevation or comorbidities present.

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