A nurse is reinforcing teaching with a client who has a family history of hypertension. The nurse should inform the client that his blood pressure reading of 124/74 mm Hg places him in which of the following categories or stages?
Hypertension stage 2
Elevated or Prehypertension
Hypertension stage 1
Within the expected reference range
The Correct Answer is B
A. Hypertension stage 2: Hypertension stage 2 is defined as a systolic blood pressure ≥140 mm Hg or diastolic ≥90 mm Hg. The client’s reading of 124/74 mm Hg does not fall into this category.
B. Elevated or Prehypertension: A systolic blood pressure between 120-129 mm Hg and a diastolic <80 mm Hg is classified as elevated or prehypertension. The client’s systolic BP of 124 mm Hg places him in this category.
C. Hypertension stage 1: Hypertension stage 1 is defined as a systolic BP between 130-139 mm Hg or diastolic BP between 80-89 mm Hg. The client’s BP of 124/74 mm Hg does not meet this criterion.
D. Within the expected reference range: The normal range for blood pressure is less than 120/80 mm Hg. The client’s BP of 124/74 mm Hg is slightly elevated and does not fall within the expected reference range.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Expect to gain weight while taking this medication. Weight gain is not a common side effect of captopril (an ACE inhibitor). This is incorrect advice.
B. Expect insomnia while taking this medication. Insomnia is not a common side effect of captopril, so this advice is not appropriate.
C. Use salt substitutes while taking this medication. Salt substitutes often contain potassium, and ACE inhibitors like captopril can cause hyperkalemia (high potassium levels). Therefore, this advice is incorrect and potentially harmful.
D. Take the medication on an empty stomach. Captopril should be taken on an empty stomach, usually 1 hour before meals, to improve its absorption and efficacy.
Correct Answer is D
Explanation
A. "A weight loss program will increase my LDL cholesterol levels." Weight loss typically reduces LDL (low-density lipoprotein) cholesterol levels, which lowers the risk of heart disease.
B. "Exercising regularly will bring down my HDL cholesterol levels." Regular exercise actually helps increase HDL (high-density lipoprotein) cholesterol levels, which is beneficial as HDL helps remove excess cholesterol from the bloodstream.
C. "Increasing the intake of foods containing trans-fatty acids in my diet can lower my risk of heart disease." Trans fats raise LDL cholesterol and lower HDL cholesterol, which significantly increases the risk of coronary artery disease.
D. "Adding foods containing omega-3 fatty acids to my diet will lower my risk of heart disease." Omega-3 fatty acids (found in fish, flaxseeds, and walnuts) are heart-healthy fats that help lower triglyceride levels and reduce inflammation, thereby reducing the risk of coronary artery disease. This statement shows correct understanding.
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