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The nurse teaches a 28-year-old man newly diagnosed with hypertension about
lifestyle modifications to reduce his blood pressure. Which statement by the
patient requires an intervention by the nurse?
A "I will avoid adding salt to my food during or after cooking."
B "If I lose weight, I might not need to continue taking medications."
C "I can lower my blood pressure by switching to smokeless tobacco."
D "Diet changes can be as effective as taking blood pressure medications." -
CORRECT ANSWER-C "I can lower my blood pressure by switching to smokeless
tobacco."
Nicotine contained in tobacco products (smoking and chew) cause
vasoconstriction and increase blood pressure. Persons with hypertension should
restrict sodium to 1500 mg/day by avoiding foods high in sodium and not adding
salt in preparation of food or at meals. Weight loss can decrease blood pressure
between 5 to 20 mm Hg. Following dietary recommendations (such as the DASH
diet) lowers blood pressure, and these decreases compare with those achieved
with blood pressure-lowering medication.
, The nurse supervises an unlicensed assistant personnel (UAP) who is taking the
blood pressure of 58-year-old female patient admitted with heart failure. The
patient is obese. The nurse should intervene if what is observed?
A The UAP waits 2 minutes after position changes to take orthostatic pressures.
B The UAP deflates the blood pressure cuff at a rate of 8 to 10 mm Hg per
second.
C The UAP takes the blood pressure with the patient's arm at the level of the
heart.
D The UAP takes a forearm blood pressure because the largest cuff will not fit
the patient's upper arm. - CORRECT ANSWER-B The UAP deflates the blood
pressure cuff at a rate of 8 to 10 mm Hg per second.
The cuff should be deflated at a rate of 2 to 3 mm Hg per second. The arm
should be supported at the level of the heart for accurate blood pressure
measurements. If the maximum size blood pressure cuff does not fit the upper
arm, the forearm may be used. Orthostatic blood pressures should be taken
within 1 to 2 minutes of repositioning the patient.
A 44-year-old man is diagnosed with hypertension and receives a prescription
for benazepril (Lotensin). After the nurse teaches him about the medication,
which statement by the patient indicates his correct understanding?
A "If I take this medication, I will not need to follow a special diet."
B "It is normal to have some swelling in my face while taking this medication."
C "I will need to eat foods such as bananas and potatoes that are high in
potassium."