The nurse is assessing a client's understanding of his hypertension therapy. What client statement indicates a need for further teaching?
a. "If I lose weight, I might be able to reduce my blood pressure medication."
b. "If my blood pressure stays under control, I will reduce my risk for a heart attack."
c. "When my blood pressure is normal, I will no longer need to take medication."
d. "When getting out of bed in the morning, I will sit for a few moments then stand."
C
Compliance with antihypertensive therapy is difficult for two reasons. First, often clients have no distressing symptoms associated with hypertension and may not believe that they have a problem. Second, many clients believe that once blood pressure is brought back into the normal range, they are "cured" and no longer need to take medication. Losing weight might allow the client to reduce medications. Lowering blood pressure does lower risk for heart attack. Because blood pressure medications often lead to orthostatic hypotension, clients should be taught to change position slowly, sitting first before standing after lying flat.
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