After the nurse teaches the patient with stage 1 hypertension ...

[Brittanyd9008]

After the nurse teaches the patient with stage 1 hypertension about diet modifications that should be implemented, which diet choice indicates that the teaching has been effective?
 
  a. The patient avoids eating nuts or nut butters.
  b. The patient restricts intake of chicken and fish.
  c. The patient has two cups of coffee in the morning.
  d. The patient has a glass of low-fat milk with each meal.

Question 2

Which action should the nurse take when administering the initial dose of oral labetalol (Normodyne) to a patient with hypertension?
 
  a. Encourage the use of hard candy to prevent dry mouth.
  b. Instruct the patient to ask for help if heart palpitations occur.
  c. Ask the patient to request assistance when getting out of bed.
  d. Teach the patient that headaches may occur with this medication.

[bhavsar]

Answer to Question 1

ANS: D
For the prevention of hypertension, the Dietary Approaches to Stop Hypertension (DASH) recommendations include increasing the intake of calcium-rich foods. Caffeine restriction and decreased protein intake are not included in the recommendations. Nuts are high in beneficial nutrients and 4 to 5 servings weekly are recommended in the DASH diet.

Answer to Question 2

ANS: C
Labetalol decreases sympathetic nervous system activity by blocking both - and -adrenergic receptors, leading to vasodilation and a decrease in heart rate, which can cause severe orthostatic hypotension. Heart palpitations, dry mouth, dehydration, and headaches are possible side effects of other antihypertensives.

[Brittanyd9008]

Thank you

[bhavsar]

Happy to help you