The nurse is instructing a patient with hypertension about lifestyle modifications. Which instructions would be appropriate to include? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Review the DASH diet.
2. Begin a walking program, and progress to 30 minutes 5 to 6 days each week.
3. Plan a weight-lifting regimen.
4. Eliminate dairy products from the diet.
5. Restrict fluid intake.
1,2
Rationale 1: Dietary approaches to managing hypertension focus on reducing sodium intake, maintaining adequate potassium and calcium intake, and reducing total and saturated fat intake. The DASH diet has proven to be beneficial in lowering blood pressure.
Rationale 2: Regular exercise reduces blood pressure and contributes to weight loss, stress reduction, and feelings of overall well-being. Previously sedentary patients are encouraged to engage in aerobic exercise for 30 to 45 minutes per day most days of the week.
Rationale 3: Isometric exercise, such as weight training, may not be appropriate, as it can raise the systolic blood pressure.
Rationale 4: Dietary approaches to managing hypertension do not focus on eliminating dairy products.
Rationale 5: Fluid restriction is not indicated.
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