An elderly adult has been admitted with a diagnosis of hypertension with a history of dementia. Which of the following nursing diagnoses has the highest priority for this client?

Number 4 is correct.

Rationale: Older adults with dementia are at risk for injury due to increased risk for falls. They may not recognize their limitations given the ineffective tissue perfusion that occurs with hypertension. Ineffective coping, activity intolerance, and ineffective tissue perfusion would not be the highest priority.