A client who was recently diagnosed with high blood pressure asks why they need the medication. The client tells the nurse that they feel just fine and questions the need for medication. Which is the nurse's best response?
1. "Many people don't really need the medication."
2. "If left untreated, high blood pressure can lead to serious problems."
3. "A healthy diet and exercise can cure this problem."
4. "You should think about going to a different prescriber."
2
Rationale 1:Medications, along with a positive lifestyle changes such as a healthy diet and exercise, can reduce the ill effects of uncontrolled HTN.
Rationale 2:Failure to control HTN can lead to narrowing of the arteries, resulting in strokes, kidney failure, and cardiac arrest.
Rationale 3:Implementing positive lifestyle changes may eliminate the need for pharmacotherapy altogether. Positive lifestyle changes include a safe weight-reduction plan, stop using tobacco, restricting salt, limit alcohol consumption, implementing a medically supervised aerobic exercise plan, and reducing stress.
Rationale 4:Changing to a different prescriber is not an effective solution to teach the client.
Global Rationale: The client needs education regarding hypertension. The risks associated with the disease are strokes, kidney failure, and cardiac arrest. A client diagnosed with hypertension requires a comprehensive medical history to determine if the disease can be controlled without medications. Positive lifestyle changes should be recommended for most clients with HTN.
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