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concept of nursing 1
Collaborative Care of Hypertension
Question | Answer |
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A 65-year-old male presents with hypertension and reports that he works 6 days per week and cooks most food in a deep fryer for convenience. He swims 4 days weekly and sleeps 4 hours nightly. | -- |
When discussing necessary lifestyle changes, which recommendations should the nurse make? | -Decrease work to only 5 days or 40 hours per week. -Include a light weight training regimen with swimming. |
A 55-year-old male presents with a 170/48 BP. He tells the nurse that he is currently going through a divorce. He admits he has been depressed and angry because of financial problems stemming from his divorce. | -- |
How should the nurse respond to this information? | “Sometimes stress can cause an increase in blood pressure.” |
The nurse is providing patient teaching to a 46-year-old with hypertension. Which patient meal selection indicates that the teaching was effective? | Grilled chicken with mushrooms and asparagus, baked potato, and skim milk. |
A patient with hypertension has been prescribed an ACE inhibitor. Which information should the nurse include in patient teaching? | -You should avoid bananas and salt substitutes. -Notify the health care provider if you develop a persistent cough. |
A patient receiving loop diuretic drug therapy for hypertension reports dizziness when changing positions from sitting to standing. Which action should the nurse take? | -Obtain orthostatic vital signs. -Instruct the patient to switch to salt substitute. -Tell the patient to stand slowly and with assistance. -Encourage the patient to report symptoms to the health care provider. |
Which information should the nurse include in the patient instructions related to antihypertensive drug therapy? | -Patients should take the medication at regular time intervals as ordered. -The patient may experience sexual problems as a side effect of the medication. -Patients should be cautious when rising from a sitting to a standing position too rapidly. |