The stepped-care approach to the treatment of hypertension includes
lifestyle modification, including exercise, diet and decreased smoking and alcohol intake.
use of diuretic, beta-blocker, or ACE inhibitor to supplement lifestyle changes.
all of the above.
a combination of antihypertensive drug classes to achieve desired control.
The Correct Answer is C
A) Lifestyle modification, including exercise, diet, and decreased smoking and alcohol intake:
This statement is accurate. Lifestyle modifications are essential components of hypertension management and are recommended as the first step in treatment. These modifications include regular physical activity, adopting a heart-healthy diet such as the DASH (Dietary Approaches to Stop Hypertension) diet, reducing sodium intake, limiting alcohol consumption, and quitting smoking. These changes can help lower blood pressure and reduce the risk of cardiovascular events.
B) Use of diuretic, beta-blocker, or ACE inhibitor to supplement lifestyle changes:
This statement is also accurate. If lifestyle modifications alone are insufficient to achieve blood pressure control, pharmacotherapy may be initiated. The choice of antihypertensive medications depends on various factors, including the individual's comorbidities, medication tolerance, and response to treatment. Diuretics, beta-blockers, and ACE inhibitors are commonly used as first-line agents in the management of hypertension, either as monotherapy or in combination with other drugs.
C) All of the above:
This statement is correct. The stepped-care approach to hypertension management involves a combination of lifestyle modifications and pharmacotherapy. Lifestyle changes are typically recommended as the initial step, followed by the addition of antihypertensive medications if necessary to achieve target blood pressure goals. Therefore, both lifestyle modifications and pharmacological interventions are integral components of the stepped-care approach.
D) A combination of antihypertensive drug classes to achieve desired control:
While this statement is true, it does not encompass all aspects of the stepped-care approach. The use of combination therapy with multiple antihypertensive drug classes may be necessary in some cases to achieve optimal blood pressure control. However, it is only one component of the broader treatment strategy, which also includes lifestyle modifications as the foundation of therapy. Therefore, while combination therapy is important, it does not fully represent the stepped-care approach on its own.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) The sympathetic nervous system is responsible for "fight or flight":
This is the correct answer. The sympathetic nervous system is responsible for the "fight or flight" response, which prepares the body to react to perceived threats or stressors by increasing heart rate, dilating pupils, redistributing blood flow, and releasing stress hormones such as adrenaline and noradrenaline.
B) The sympathetic nervous system helps us to rest and digest:
This statement is incorrect. The parasympathetic nervous system is responsible for the "rest and digest" response, which promotes relaxation, digestion, and conservation of energy.
C) The sympathetic nervous system includes the cranial nerves:
This statement is incorrect. The sympathetic nervous system is primarily associated with the thoracolumbar region of the spinal cord and does not include the cranial nerves, which are primarily associated with the parasympathetic nervous system.
D) The sympathetic nervous system can lower blood pressure:
This statement is incorrect. The sympathetic nervous system typically increases blood pressure as part of the "fight or flight" response by increasing heart rate and constricting blood vessels to redirect blood flow to vital organs and muscles.
Correct Answer is C
Explanation
A) "I should limit my fluid intake while taking this medication":
This statement is incorrect. Furosemide is a loop diuretic that increases urine production to reduce fluid overload in conditions like heart failure or edema. It is essential for clients taking furosemide to maintain adequate hydration to prevent dehydration. Therefore, the client should not limit their fluid intake while taking this medication.
B) "My blood pressure will increase while I am taking this medication":
This statement is incorrect. Furosemide is primarily used to reduce blood pressure by promoting diuresis and reducing fluid volume. Therefore, it is unlikely that blood pressure would increase while taking this medication.
C) "I should take this medication in the morning rather than at night":
This is the correct answer. Furosemide is usually taken in the morning to prevent nocturia (excessive urination at night), as it can increase urinary frequency. Taking it earlier in the day allows for better fluid balance during waking hours and reduces the need to wake up frequently during the night to urinate.
D) "I should eat a diet low in potassium while taking this medication":
This statement is incorrect. Furosemide can cause potassium depletion as a side effect, so clients may be advised to consume potassium-rich foods or supplements unless contraindicated due to other medical conditions. However, it is not necessary to eat a diet low in potassium while taking furosemide unless specifically instructed by a healthcare provider.
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