The nurse is developing a plan of care for a newly diagnosed hypertensive patient who is being discharged on medications and given the Dietary Approaches to Stop Hypertension (DASH) diet to follow
What statement by the patient signals to the nurse that the patient is motivated to learn?
a. "I am sure the medications will help to bring down my blood pressure."
b. "I can't wait to try the new recipes, and I'm hopeful I will lose weight."
c. "Do I really need to follow the diet and take medications?"
d. "I have my parents to blame for this. They both have high blood pressure."
ANS: B
A patient who is motivated will see what the benefits of following the teaching will do for them and will most likely be able to manage their own care. The patient who believes medications are the only solution may not be motivated to follow the prescribed diet. Blaming the parents for their condition does not show accountability or motivation for change.
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For the past 2 days, a client's apical pulse has been about 80 beats per minute (bpm). Today, however, you detect an apical pulse of 44 bpm
You interpret that which of the following is the most serious potential consequence of this change in the client's condition? 1. weakened peripheral pulses 2. activation of the renin-angiotensin-aldosterone cascade 3. increased stroke volume 4. decreased cardiac output