Author Question: The patient does not want to take medication to treat his or her hypertension if he or she can avoid ... (Read 53 times)

a0266361136 · **on:** Jul 23, 2018

The patient does not want to take medication to treat his or her hypertension if he or she can avoid it and asks the nurse if there is anything else he or she can do? What lifestyle changes will the nurse recommend? (Select all that apply.)

A) Increase time spent exercising.
B) Eliminate all salt from your diet.
C) Reduce intake of fluids.
D) Lose some weight.
E) Try meditation.

Question 2

The pediatric nurse practitioner is caring for a child who is diagnosed with cystic fibrosis (CF). The parents ask what the treatment is for because CF is considered a terminal illness. What would be the nurse's best response?

A) Treatment is aimed at maintaining airway patency as much as possible.
B) Treatment is aimed at lowering high levels of carbon dioxide in the blood.
C) Treatment is aimed at raising oxygen levels to the extremities.
D) Treatment is aimed at maintaining the child until lung transplantation can occur.

miss_1456@hotmail.com · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A, D, E
Feedback:
Exercising, losing weight, and meditation to reduce stress are all effective changes the patient can make in her lifestyle. However, if these do not bring blood pressure to within acceptable limits, the next step in the stepped-care management approach to treat hypertension would be to introduce a diuretic, beta-blocker, angiotensin-converting enzyme inhibitor, calcium channel blocker, or angiotensin IIreceptor blocker in addition to the lifestyle changes. It is not necessary, or even possible, to eliminate all sodium from the diet but cutting back will reduce water retention. Reducing intake of fluids is not a healthy option and would not be suggested unless comorbidities, such as possibility of heart failure, were present.

Answer to Question 2

A
Feedback:
Treatment is aimed at keeping the secretions fluid and moving and maintaining airway patency as much as possible. Treatment for CF is not aimed at lowering hypercapnia or raising oxygen levels to the extremities. Treatment for CF is not aimed at maintaining the child until lung transplantation can occur.