Here is a care plan for the identified patient problems: NURSING CARE PLAN --- Problem 1: High Blood Pressure Nursing Diagnosis: Risk for decreased cardiac output* related to elevated blood pressure. Goals: Patient's blood pressure will be within the target range (e.g., below $140/90 \text{ mmHg}$) by discharge. Patient will verbalize understanding of hypertension management strategies. Interventions: Monitor blood pressure every 4 hours or as ordered, and report significant changes. Administer prescribed antihypertensive medications as scheduled and monitor for side effects. Educate the patient on a low-sodium, heart-healthy diet and the importance of regular exercise. Teach stress reduction techniques, such as deep breathing or meditation. Monitor for signs and symptoms of complications, such as headache, blurred vision, or chest pain. Evaluation: Blood pressure readings are consistently within the target range. Patient accurately describes medication regimen, dietary restrictions, and lifestyle modifications. --- Problem 2: Patient Feels Anxious Nursing Diagnosis: Anxiety* related to hospitalization, new diagnosis, and unfamiliar environment. Goals: Patient will verbalize a reduction in anxiety levels within 24 hours. Patient will demonstrate effective coping mechanisms. Interventions: Provide a calm and quiet environment to reduce external stimuli. Listen actively to the patient's concerns and fears, allowing them to express feelings. Explain all procedures and treatments clearly and simply to reduce uncertainty. Encourage the use of relaxation techniques, such as deep breathing exercises. Offer spiritual support if desired, given the patient's Christian faith. Evaluation: Patient reports feeling calmer and less anxious. Patient uses relaxation techniques effectively and asks questions about their care. --- Problem 3: Patient Experiences Difficulties with Sleep Nursing Diagnosis: Disturbed sleep pattern* related to environmental changes, anxiety, and potential discomfort. Goals: Patient will report improved sleep quality and duration within 48 hours. Patient will verbalize feeling rested upon waking. Interventions: Optimize the sleep environment by dimming lights, reducing noise, and ensuring a comfortable room temperature. Establish a consistent bedtime routine, if possible, to promote sleep. Limit caffeine and stimulating activities before bedtime. Offer comfort measures such as a warm drink (non-caffeinated) or a back rub. Administer prescribed sleep aids if ordered, and monitor for effectiveness and side effects. Evaluation: Patient reports sleeping for an adequate number of hours (e.g., 6-8 hours). Patient states feeling refreshed and less fatigued in the morning. --- Problem 4: Physical Weakness Nursing Diagnosis: Impaired physical mobility* related to generalized weakness and current health status. Goals: Patient will participate in activities of daily living (ADLs) with minimal assistance within 3 days. Patient will demonstrate increased strength and endurance. Interventions: Assist the patient with ambulation and transfers, ensuring safety and using assistive devices as needed. Encourage active range of motion (ROM) exercises for all extremities, or perform passive ROM if necessary. Provide frequent rest periods between activities to prevent overexertion. Ensure adequate nutritional intake and hydration to support energy levels and muscle strength. Collaborate with physical therapy for a structured exercise program to improve strength and endurance. Evaluation: Patient ambulates safely with minimal assistance for short distances. Patient performs ADLs such as bathing and dressing with reduced help.