The nurse is educating a client with hypertension on the ...

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The nurse is educating a client with hypertension on the importance of maintaining an optimal weight. The client asks the nurse how much weight loss is needed.
 
  The nurse's response is based on the knowledge that a weight loss of 11 to _____ lb produces a measurable decrease in blood pressure.
  Standard Text: Record your answer rounding to the nearest whole number.
 
  Fill in the blank with the appropriate word.

Question 2

A client does not want to take hypertension medication, and asks why it is needed, as the client feels fine. Which response by the nurse is the most appropriate?
 
  1. You're right; there is no need for these medications.
  2. The medications can prevent worsening of the hypertension.
  3. If the hypertension is severe, symptoms could arise.
  4. The medications can prevent complications from hypertension.

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Answer to Question 1

Correct Answer: 20
Rationale: Therapeutic lifestyle changes should be recommended for all clients with prehypertension or HTN. Of greatest importance is maintaining optimum weight, since obesity is closely associated with dyslipidemia (abnormal serum lipid levels) and HTN. A 5- to 9-kg (11- to 20-lb) weight loss often produces a measurable decrease in blood pressure, even in clients who are obese. Combining a medically supervised weight loss program with proper nutrition can delay the progression from prehypertension to HTN.
Global Rationale: Therapeutic lifestyle changes should be recommended for all clients with prehypertension or HTN. Of greatest importance is maintaining optimum weight, since obesity is closely associated with dyslipidemia (abnormal serum lipid levels) and HTN. A 5- to 9-kg (11- to 20-lb) weight loss often produces a measurable decrease in blood pressure, even in clients who are obese. Combining a medically supervised weight loss program with proper nutrition can delay the progression from prehypertension to HTN.

Answer to Question 2

Correct Answer: 4
Rationale 1: Hypertension should always be treated.
Rationale 2: While the statement is true, it is not the primary goal of hypertension treatment.
Rationale 3: While the statement is correct, it does not address the primary goal of hypertension treatment.
Rationale 4: The primary goal of hypertension treatment is to prevent complications of hypertension, such as stroke and blindness.
Global Rationale: The primary goal of hypertension treatment is to prevent complications of hypertension, such as stroke and blindness. Hypertension should always be treated. While medications can prevent worsening of the hypertension, this is not the primary goal. While symptoms can occur if hypertension is severe, this statement does not address the primary goal of hypertension treatment.

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