The patient has a blood pressure reading of 126/84 mmHg. She asks the nurse if she has high blood pressure. What is the best response by the nurse?
1. "You have prehypertension, but it isn't really serious."
2. "You have prehypertension; let's discuss your lifestyle."
3. "You have prehypertension; unfortunately, this will progress to hypertension."
4. "You have prehypertension, and must begin medication."
Correct Answer: 2
Rationale: According to JNC-7, prehypertension includes individuals with systolic readings of 120 to 130 mmHg or diastolic readings of 80 to 89 mmHg. Prehypertension should be initially treated by modification in lifestyle. Initiation of medication is incorrect because prehypertension is initially treated with lifestyle modifications. Hypertension is incorrect because many individuals can treat prehypertension with lifestyle modifications and will never progress to hypertension. Prehypertension is always serious and requires lifestyle modifications.
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