Mr. Jones, an 80-year-old male with newly diagnosed primary hypertension, has just been started on a beta-blocker. In addition to teaching Mr. Jones about his medication, ie, side effects, purpose, and schedule, the nurse should also focus her teaching on
A) Increasing fluids to avoid extracellular volume depletion from the diuretic effect of the beta-blocker
B) Maintaining a diet high in dairy to increase protein necessary to prevent organ damage
C) Use of supportive devices such as handrails and walkers to prevent falls stemming from postural hypotension
D) Limiting exercise to avoid injury that can be caused by postural hypotension
Ans: C
Feedback: Elderly people have impaired cardiovascular reflexes and are more sensitive to postural hypotension. The nurse teaches patients to change positions slowly when moving from lying or sitting positions to a standing position and counsels elderly patients to use supportive devices as necessary to prevent falls that could result from dizziness. Lifestyle changes such as regular physical activity/exercise, a diet rich in fruits, vegetables, and low-fat dairy products are strongly recommended. Increasing fluids in elderly patients may be contraindicated due to cardiovascular disease.
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