An older adult is newly diagnosed with primary hypertension, and has just been started on a beta-blocker. What information should the nurse include in the health education for this client?

Maintaining a diet high in dairy to increase protein necessary to prevent organ damage

Use of strategies to prevent falls stemming from postural hypotension

Limiting exercise to avoid injury that can be caused by increased intracranial pressure

Increasing fluids to avoid extracellular volume depletion from the diuretic effects of the beta-blocker

Answer and Explanation

The Correct Answer is B

A. Maintaining a diet high in dairy to increase protein necessary to prevent organ damage

Explanation: This statement is not accurate. While a balanced diet is important, there is no specific recommendation to maintain a diet high in dairy to prevent organ damage related to hypertension.

B. Use of strategies to prevent falls stemming from postural hypotension

Explanation: This is a correct and important consideration. Beta-blockers can cause postural hypotension (a drop in blood pressure upon standing), and strategies to prevent falls, such as rising slowly from a sitting or lying position, are crucial.

C. Limiting exercise to avoid injury that can be caused by increased intracranial pressure

Explanation: This statement is not accurate. Exercise is generally beneficial for individuals with hypertension, and beta-blockers do not cause increased intracranial pressure.

D. Increasing fluids to avoid extracellular volume depletion from the diuretic effects of the beta-blocker

Explanation: This statement is not accurate. Beta-blockers are not typically associated with diuretic effects. Diuretics are a different class of medications commonly used for hypertension.

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Correct Answer is B

Explanation

A. “I will have canned chicken noodle soup with crackers and an apple for lunch.”

This option may not be the best choice for a low-sodium diet. Canned soups often contain high levels of sodium.

B. “I will have a tossed salad with cheese and croutons for lunch.”

This option is a better choice, as salads with fresh vegetables can be lower in sodium compared to other options.

C. “I will have a ham and cheese sandwich for lunch.”

Ham and cheese are generally high in sodium, so this would not be a suitable choice for a low-sodium diet.

D. “I will have a baked potato with broiled chicken for dinner.”

This option seems to be a good choice. Baked potato and broiled chicken can be part of a low-sodium meal.

A. “Did you have rheumatic fever as a child?” B. “Do you have a family history of valve problems?” C. “Do you have a history of MRSA?” D. “What over-the-counter medications do you take?”

Correct Answer is A

Explanation

A. "Did you have rheumatic fever as a child?"

Rheumatic fever is an inflammatory condition that can affect the heart, especially the heart valves. Rheumatic fever is a known risk factor for the development of valvular heart disease. Asking about a history of rheumatic fever helps identify a potential cause for valve malfunction.

B. "Do you have a family history of valve problems?"

Family history can be relevant in understanding genetic predispositions to certain cardiac conditions. While it may contribute to the overall assessment of cardiac risk, it may not be as directly linked to valve malfunction as a history of rheumatic fever.

C. "Do you have a history of MRSA?"

MRSA (Methicillin-resistant Staphylococcus aureus) is a type of bacterial infection and is not directly associated with valve malfunction. This question may be relevant for other aspects of the client's health but is not specific to ruling out cardiac issues related to valve malfunction.

D. "What over-the-counter medications do you take?"

While knowing the medications a client takes is important for a comprehensive assessment, asking about over-the-counter medications may not be as directly related to ruling out cardiac issues related to valve malfunction. It is more relevant for assessing potential interactions or effects on cardiovascular health.

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An older adult is newly diagnosed with primary hypertension, and has just been started on a beta-blocker. What information should the nurse include in the health education for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with heart failure is placed on a low sodium diet. Which statement by the client indicates that the nurse’s nutritional teaching plan has been effective?

Correct Answer is B

Explanation

A client is being admitted to the medical unit to rule out cardiac issues related to valve malfunction. Which question should the nurse ask the client during the admission interview to support this diagnosis?

Correct Answer is A

Explanation

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