The nurse is educating a client whose blood pressure is 140/90 ...

[kwoodring]

The nurse is educating a client whose blood pressure is 140/90 mmHg on ways to lower blood pressure. Which lifestyle choices may eliminate the need for pharmacotherapy in this client?
 
  Standard Text: Select all that apply.
  1. Increasing intake of wine
  2. Restricting salt intake
  3. Increasing intake of red meat
  4. Increasing activity
  5. Stopping smoking

Question 2

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.

[johnpizzaz]

Answer to Question 1

Correct Answer: 2,4,5
Rationale 1: Increasing the intake of alcohol, including wine, is not a positive lifestyle change associated with the nonpharmacologic treatment of hypertension. The client should be encouraged to decrease the intake of alcohol.
Rationale 2: Restricting sodium intake is a positive lifestyle change associated with the nonpharmacologic treatment of hypertension.
Rationale 3: Increasing the intake of saturated fat is not a positive lifestyle change associated with the nonpharmacologic treatment of hypertension. The client should be encouraged to decrease the intake of red meat and other sources of saturated fat.
Rationale 4: Increased activity, especially aerobic activity, is a positive lifestyle change associated with the nonpharmacologic treatment of hypertension.
Rationale 5: Eliminating tobacco products is a positive lifestyle change associated with the nonpharmacologic treatment of hypertension.
Global Rationale: Restricting sodium intake is a positive lifestyle change associated with the nonpharmacologic treatment of hypertension. Increased activity, especially aerobic activity, is a positive lifestyle change associated with the nonpharmacologic treatment of hypertension. Eliminating tobacco products is a positive lifestyle change associated with the nonpharmacologic treatment of hypertension. Increasing the intake of alcohol, including wine, is not a positive lifestyle change associated with the nonpharmacologic treatment of hypertension. The client should be encouraged to decrease the intake of alcohol. Increasing the intake of saturated fat is not a positive lifestyle change associated with the nonpharmacologic treatment of hypertension. The client should be encouraged to decrease the intake of red meat and other sources of saturated fat.

Answer to Question 2

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.

[kwoodring]

Thanks for the timely response, appreciate it

[momolu]

Gracias!