The patient does not want to take medication to treat his or her hypertension if he or she can avoid it and asks the nurse if there is anything else he or she can do? What lifestyle changes will the nurse recommend? (Select all that apply.)
A) "Increase time spent exercising."
B) "Eliminate all salt from your diet."
C) "Reduce intake of fluids."
D) Lose some weight."
E) "Try meditation."
A, D, E
Feedback:
Exercising, losing weight, and meditation to reduce stress are all effective changes the patient can make in her lifestyle. However, if these do not bring blood pressure to within acceptable limits, the next step in the stepped-care management approach to treat hypertension would be to introduce a diuretic, beta-blocker, angiotensin-converting enzyme inhibitor, calcium channel blocker, or angiotensin II–receptor blocker in addition to the lifestyle changes. It is not necessary, or even possible, to eliminate all sodium from the diet but cutting back will reduce water retention. Reducing intake of fluids is not a healthy option and would not be suggested unless comorbidities, such as possibility of heart failure, were present.
You might also like to view...
The nurse assists the client to clean up after an incontinence episode. The client says "I'm sorry that you have to do this....". Which response, if made by the nurse, is most appropriate?
A) "Everything is just fine.". B) "I'm happy to help you.". C) "It's no big deal.". D) "You shouldn't worry.".
What is an appropriate nursing intervention to use to meet the psychiatric needs of a hospitalized infant?
a. Move slowly while conducting care. b. Explain procedures carefully. c. Use the oral route for medications. d. Allow the child to express feelings.
A client diagnosed with acquired immunodeficiency syndrome (AIDS) 6 years ago has a purple lesion located on the inner thigh. This lesion is most likely to be:
1. AIDS-related syndrome. 2. Burkitt's lymphoma. 3. cachexia. 4. Kaposi's sarcoma.
The nurse treating a client with malaria knows that the goals of pharmacotherapy include:
Standard Text: Select all that apply. 1. chemoprophylaxis. 2. treatment of acute attacks. 3. prevention of relapses. 4. prevention of bacterial infections. 5. prevention of viral infections.