A patient is diagnosed with borderline hypertension and states a desire to make lifestyle changes to avoid needing to take medication.
The nurse advises:
Changing from weight-bearing exercise to yoga.
Decreased fluid intake and increased potassium intake.
Stress reduction and increased protein intake.
Weight reduction and decreased sodium intake.
The Correct Answer is D
Choice A rationale
Weight-bearing exercises are beneficial for cardiovascular health and bone density, and substituting them with yoga may not address the underlying factors contributing to hypertension.
Choice B rationale
Decreased fluid intake is not generally recommended as it can lead to dehydration, which may negatively impact blood pressure. Increased potassium intake is beneficial, but not reducing fluid intake.
Choice C rationale
Stress reduction is indeed beneficial for managing hypertension, but increased protein intake is not specifically indicated for lowering blood pressure and may have other health implications.
Choice D rationale
Weight reduction and decreased sodium intake are well-established lifestyle changes for managing hypertension. Reducing sodium helps lower blood pressure, and weight loss reduces the strain on the cardiovascular system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Itching and rash are not common adverse effects associated with calcium-channel blockers. They are more commonly related to other classes of medications.
Choice B rationale
Hypertension and tachycardia are not typical adverse effects of calcium-channel blockers. These medications are usually prescribed to treat hypertension and can actually cause a reduction in heart rate.
Choice C rationale
Nausea and diarrhea are possible side effects of many medications, but they are not specific adverse effects commonly linked to calcium-channel blockers.
Choice D rationale
Headache and dizziness are common adverse effects of calcium-channel blockers. These medications can cause vasodilation, leading to headaches and a decrease in blood pressure, which may result in dizziness, especially when standing up quickly. .
Correct Answer is C
Explanation
Choice A rationale
Renal function tests are not specifically required for propranolol administration unless there are existing renal concerns. Propranolol is primarily metabolized by the liver, not the kidneys.
Choice B rationale
While it is important to consider drug interactions, the primary concern with propranolol in this patient is the history of asthma and diabetes, not herbal medication interactions.
Choice C rationale
Propranolol, a non-selective beta-blocker, can exacerbate asthma symptoms and mask hypoglycemia in diabetic patients. Consulting with the doctor to consider a different antihypertensive medication that does not have these risks is a prudent approach.
Choice D rationale
While monitoring serum glucose levels is important, administering propranolol in a patient with a history of asthma and diabetes poses significant risks. An alternative medication should be considered. .
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