The ambulatory care nurse measures the blood pressure of a client ...

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The ambulatory care nurse measures the blood pressure of a client and finds it to be 156/94 mm Hg. Which of the following areas is unnecessary to emphasize when providing client education for blood pressure control?
 
  1. Instruct the client to limit protein intake.
  2. Teach the client to avoid adding salt to foods.
  3. Discuss the rationale for reducing or maintaining weight.
  4. Stress the importance of a regular exercise program.

Question 2

The nurse has provided home care instructions to a client with a history of cardiac disease who has just been told that she is pregnant. Which of the following statements, if made by the client, indicates a need for further education?
 
  1. It is best that I rest on my left side to promote blood return to the heart.
  2. I need to avoid excessive weight gain to prevent increased demands on my heart.
  3. I need to try to avoid stressful situations because stress increases the workload on the heart.
  4. During the pregnancy, I need to avoid contact with other individuals as much as possible to prevent infection.

[smrtceo]

Answer to Question 1

1

Rationale: Obesity and sodium intake are modifiable risk factors for hypertension. These are of the utmost importance because they can be changed or modified by the individual through a regular exercise program and careful monitoring of sodium intake. Protein intake has no relationship to hypertension.

Answer to Question 2

4

Rationale: To avoid infections, visitors with active infections should not be allowed to visit the client. Otherwise, restrictions are not required. Stress causes increased workload on the heart, and the client should be instructed to avoid stress. Too much weight gain can place further demands on the heart. Resting should be done while lying on the left side to promote blood return.

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[flexer1n1]

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