The client recently diagnosed with hypertension presents with the following assessment data: weight, 200 lb; height, 5'4"; diet, mostly starches; alcohol intake, three beers/week; stressors, works 60 hours/week
In planning care with this client, what is the priority outcome?
1. The client will eliminate alcohol from the diet.
2. The client will decrease stress by limiting work to 40 hours/week.
3. The client will achieve and maintain optimum weight.
4. The client will balance diet according to the food pyramid.
Correct Answer: 3
Rationale 1: Eliminating alcohol is important, but not the priority outcome.
Rationale 2: Decreasing stress is important, but not the priority outcome.
Rationale 3: Achieving and maintaining optimum weight is of greatest importance when a client has hypertension. For obese clients, a 10- to 20-lb weight loss can produce a measurable change in blood pressure.
Rationale 4: A balanced diet is important, but not the priority outcome.
Global Rationale: Achieving and maintaining optimum weight is of greatest importance when a client has hypertension. For obese clients, a 10- to 20-lb weight loss can produce a measurable change in blood pressure. Eliminating alcohol, decreasing stress, and a balanced diet are all important, but they are not the priority outcome.
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