A nurse is teaching a client who has hypertension (HTN) the ...

[kwoodring]

A nurse is teaching a client who has hypertension (HTN) the stepped-care approach to keeping blood pressure within normal limits. Which of the following is part of the first step in this regimen?
 
  a. frequent rest periods during the day
  b. use of antihypertensive medications
  c. weight loss and dietary modifications
  d. having family members checked for HTN

Question 2

To prevent fetal infection, a cesarean birth is required for the pregnant client who is infected with which of these organisms at the time of delivery?
 
  a. cytomegalovirus c. rubella
  b. herpes genitalis d. toxoplasmosis

[parker125]

Answer to Question 1

C
Medical management of HTN is directed toward keeping the client's blood pressure within normal limits. A stepped-care regimen is initiated, beginning with dietary and lifestyle modifications; the client's response to this step determines whether additional steps will be required. Medications such as diuretics or beta blockers are added as the second step; subsequent steps involve adding other medications or increasing dosages of initial medications if the client's blood pressure does not respond. A diet that is low in fat, cholesterol, and sodium is advised, along with a regular aerobic exercise program.

Answer to Question 2

B
Untreated infections such as herpes genitalis may cause abortion, congenital anomalies, fetal infections, intrauterine growth retardation (IUGR), preterm labor, mental retardation, or death. To prevent fetal infection, a cesarean birth is required for the pregnant client who is infected.