Which nursing diagnosis is most appropriate for a patient with long-standing hypertension?

The most appropriate nursing diagnosis for a patient with long-standing hypertension is Ineffective Tissue Perfusion. This diagnosis is relevant because chronic hypertension can lead to changes in blood vessels, including thickening and hardening of the arterial walls (a process known as arteriosclerosis), which can impair blood flow and reduce the perfusion of tissues and organs. As a result, the body may not receive adequate oxygen and nutrients, leading to symptoms associated with poor tissue perfusion.

Ineffective tissue perfusion reflects the relationship between arterial health and oxygen delivery to tissues, making it a critical consideration for patients with long-standing hypertension. Taking into account the patient’s history, this diagnosis can guide nursing interventions aimed at improving circulation and enhancing tissue oxygenation, thereby addressing potential complications associated with chronic high blood pressure.

In contrast, while other diagnoses may pertain to cardiovascular conditions, they do not capture the primary issue of tissue perfusion as directly as this one does.