The patient has been recently diagnosed with hypertension. Assessment data includes
Wt: 200 pounds
Ht: 5' 4"
Diet: Mostly starches
Alcohol intake: 3 beers/week
Stressors: Works 60 hours/week
In planning care with this patient, what is the priority outcome?
1. Patient will eliminate alcohol from the diet.
2. Patient will decrease stress by limiting work to 40 hours/week.
3. Patient will balance diet according to the food pyramid.
4. Patient will achieve and maintain optimum weight.
Correct Answer: 4
Rationale: Achieving and maintaining optimum weight is of greatest importance when a patient has hypertension. For obese patients, a 10 to 20 pound weight loss can produce a measurable change in blood pressure. A balanced diet is important, but not the priority outcome. Decreasing stress is important, but not the priority outcome. Eliminating alcohol is important, but not the priority outcome.
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