The nurse is developing a care plan for a client newly diagnosed with hypertension.
The nurse should include which of the following modifications in the client teaching plan of care?

Restricting sodium intake.

Stressing importance of follow-up and ophthalmic care.

Increasing intake of fruits and vegetables.

Taking prescribed medications as ordered.

Not taking medication when blood pressure is less than 140/90 mmHg.

Answer and Explanation

Correct Answer : A,B,C,D

Choice A rationale

Restricting sodium intake is essential as high sodium levels can increase fluid retention, leading to elevated blood pressure. A low-sodium diet reduces the workload on blood vessels and decreases the risk of cardiovascular complications associated with hypertension. The recommended sodium intake for adults should be less than 2,300 mg per day, and ideally closer to 1,500 mg daily for optimal blood pressure control.

Choice B rationale

Hypertension can lead to damage to the small blood vessels in the retina, resulting in hypertensive retinopathy. Stressing ophthalmic care ensures early detection and management of vision changes that may be indicative of ongoing vascular damage. Regular ophthalmologic evaluation aids in preventing irreversible vision loss and allows better management of systemic hypertension's effects on ocular health.

Choice C rationale

Increasing the intake of fruits and vegetables provides essential nutrients such as potassium, magnesium, and dietary fiber. Potassium helps counteract the effects of sodium and relaxes blood vessel walls, lowering blood pressure. The DASH diet, rich in fruits and vegetables, is widely recommended for individuals with hypertension to promote cardiovascular health and regulate blood pressure.

Choice D rationale

Taking prescribed medications as ordered ensures consistent management of blood pressure and prevention of complications such as stroke, heart attack, and kidney damage. Antihypertensive medications, including ACE inhibitors, beta-blockers, or diuretics, work through various mechanisms to lower blood pressure. Adherence prevents fluctuations and maintains target levels of less than 140/90 mmHg.

Choice E rationale

Not taking medication when blood pressure is less than 140/90 mmHg is incorrect because hypertension management requires consistent medication to maintain target levels and prevent rebound hypertension. Abrupt discontinuation can lead to complications such as severe hypertensive episodes and organ damage. Regular monitoring is crucial to guide therapy adjustments safely.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["12"]

Explanation

Step 1 is to convert 176 pounds to kilograms. (176 ÷ 2.2) = 80 kg.

Step 2 is to calculate the drug dose. (10 mcg × 80 kg) ÷ 1000 = 0.8 mg/minute.

Step 3 is to find the hourly dose. (0.8 mg × 60 minutes) = 48 mg/hour.

Step 4 is to calculate mL/hour. (48 mg ÷ (1000 mg ÷ 250 mL)) = 12 mL/hour. The final calculated answer is 12 mL/hour.

A. Reports of malaise. B. Chills. C. Reports of dysuria. D. High fever. E. Reports of urinary frequency.

Correct Answer is ["C","E"]

Explanation

Choice A rationale

Malaise is more associated with systemic conditions, such as upper urinary tract infections or generalized illness, rather than isolated lower urinary tract infections. Lower UTIs tend to present with localized urinary symptoms rather than systemic effects.

Choice B rationale

Chills suggest systemic involvement and are characteristic of pyelonephritis or upper urinary tract infections. Lower UTIs typically do not produce systemic signs like chills, as the infection is confined to the bladder and urethra.

Choice C rationale

Dysuria is a classic symptom of lower UTIs. It results from inflammation of the bladder mucosa due to the presence of pathogenic organisms. The irritation of the urinary tract leads to painful or difficult urination, confirming the diagnosis of lower UTI.

Choice D rationale

High fever, like chills, is indicative of upper urinary tract infections, such as pyelonephritis. Lower UTIs are generally afebrile, presenting more with localized urinary symptoms rather than systemic manifestations.

Choice E rationale

Urinary frequency is another hallmark symptom of lower UTIs, caused by bladder irritation. The infection leads to an increased urge to urinate, even when little urine is produced. This symptom is specific to lower UTIs and supports the diagnosis when present.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is developing a care plan for a client newly diagnosed with hypertension.The nurse should include which of the following modifications in the client teaching plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["12"]

Explanation

The nurse is assessing a client suspected of having a lower urinary tract infection (UTI). Which of the following findings should the nurse expect?

Correct Answer is ["C","E"]

Explanation

The nurse is assessing a client suspected of having peripheral artery disease (PAD) in the legs.Which of the following findings should the nurse expect during the assessment?

The nurse is planning care for a female client with a lower urinary tract infection (UTI). Which of the following interventions should be the priority for the nurse to include in the client's plan of care?

The nurse is assessing a client suspected of having renal calculi who reports severe, wavelike pain that radiates down the thigh and to the genital area and a sensation of needing to void, but only small amounts are voided.The nurse should explain which of the following information to the client?

The nurse is assessing a newly admitted client diagnosed with left ventricular failure.Which of the following findings should the nurse expect during the assessment?

The nurse is teaching a client about preventing symptoms of thalassemia.Which of the following information should the nurse include in the teaching?

The nurse is performing a health screening for a client at a local clinic and the client states, "I have noticed changes in my vision recently and I have also had some bad headaches.”. Which of the following actions should be a priority for the nurse to take?

The nurse is caring for a male client with a history of benign prostatic hyperplasia (BPH) who reports being unable to void any urine for the last 8 hours.Which of the following actions should the nurse take first?

The nurse is developing a care plan for a client newly diagnosed with hypertension.The nurse should include which of the following modifications in the client teaching plan of care?

The nurse is developing a care plan for a client newly diagnosed with hypertension.
The nurse should include which of the following modifications in the client teaching plan of care?