WITH COMPLETE SOLUTIONS VERIFIED
A public health nurse is reviewing the outcomes of an exercise program at
various locations. Which of the following aspects of care does this finding
evaluate?
Equity
primary prevention
Prevents the disease before occurring (EX: immunization, education)
secondary prevention
Aims to reduce impact of disease that's already occurred - prevent + treat!! (EX:
medications)
tertiary prevention
Soften impact of chronic illness, help people manage long term effects to help improve
quality of life + expectancy
A client with primary hypertension reports dizziness with ambulation when taking
the prescribed alpha-adrenergic blocker. When teaching this client, what should
the nurse emphasize?
Rising slowly from a lying or sitting position
When caring for a client with essential hypertension what instruction should the
nurse provide to the client to normalize blood pressure?
Reduce sodium intake.
,A client diagnosed with hypertension informs the nurse that they are not taking
prescribed antihypertensive medications due to an absence of symptoms. What
is the most appropriate response by the nurse?
Inform the client that this is why hypertension is known as "the silent killer."
A client is placed on a low-sodium (500 mg/day) diet. Which client statement
indicates that the nurse's nutrition teaching plan has been effective?
"I can still eat a ham-and-cheese sandwich with potato chips for lunch."
"I chose broiled chicken with a baked potato for dinner."
A client is scheduled for a diagnostic workup following a diagnosis of
hypertension. The client is overtly anxious and crying. Which response by the
nurse is most appropriate?
"Tell me what concerns you most."
When teaching a client about hypertension and lifestyle changes what does the
nurse emphasizes should be included in the diet?
Fresh fruits and vegetables
A client experiences orthostatic hypotension while receiving furosemide to treat
hypertension. How will the nurse intervene?
Instruct the client to sit for several minutes before standing.
A nurse on a busy medical unit is aware of the importance of accurate blood
pressure (BP) measurement. To ensure accuracy when assessing patients' blood
pressures, the nurse should always:
Ensure that the correct cuff size is used for each patient
, The nurse is caring for a client prescribed bumetanide for the treatment of stage 2
hypertension. Which finding indicates the client is experiencing an adverse effect
of the medication?
Serum potassium value of 3.0 mEq/L
The nurse and a dietitian are instructing the client on a low-sodium diet needed to
lower the blood pressure. Which question, asked by the nurse, is most
important?
"How do you prepare your food?"
A nurse educator is providing information about hypertension to a small group of
clients. A participant asks "What can I do to decrease my blood pressure and
thus my risk for heart problems?" The nurse describes modifiable and non-
modifiable risk factors. Which of the following risk factors can the client modify?
Dyslipidemia
A patient has been diagnosed with prehypertension and has been encouraged to
exercise regularly and begin a weight loss program. What other healthcare
professional may be helpful for the client to see?
Dietician
A client hospitalized for treatment of hypertension is being prepared for
discharge. Which teaching topic should the nurse should be sure to cover?
Maintaining a low-sodium diet
Primary prevention examples
- Education (safety + disease preventing)
- Immunizations