1. The nurse is teaching the client with hypertension about maintaining an exercise
program. Which teaching strategy will be most helpful?
a. Give the client a written exercise program to follow.
b. Explain the exerci
...
1. The nurse is teaching the client with hypertension about maintaining an exercise
program. Which teaching strategy will be most helpful?
a. Give the client a written exercise program to follow.
b. Explain the exercise program to the client's spouse.
c. Offer reassurance that that the client can follow the exercise program.
d. Tailor a program to the meet client's needs and abilities.
Rationale:
Tailoring or individualizing a program to the client’s lifestyle has been shown to be an effective
strategy for changing health behaviors. Providing a written program, explaining the program to
the client’s spouse, and reassuring the client that he or she can do the program may be helpful
but are not as likely to promote adherence as individualizing the program.
2. A client is on several medications to control hypertension. As the nurse reviews the
mechanism of action for each medication, what statement does the nurse use to
describe how furosemide treats hypertension?
a. "It dilates peripheral blood vessels."
b. "It decreases sympathetic cardioacceleration."
c. "It inhibits the angiotensin-converting enzyme."
d. "It inhibits reabsorption of sodium and water in the loop of Henle."
Rationale:
Furosemide is a loop diuretic that inhibits sodium and water reabsorption in the loop of Henle,
thereby causing a decrease in blood pressure. Vasodilators cause dilation of peripheral blood
vessels, directly relaxing vascular smooth muscle and decreasing blood pressure. Adrenergic
blockers decrease sympathetic cardioacceleration and decrease blood pressure. Angiotensin-
converting enzyme inhibitors decrease blood pressure due to their action on angiotensin.
3. Upon hearing a blood pressure reading of 146/96 mm Hg, a 58-year-old client asks
whether medication will be necessary. Which would be the best response by the nurse?
a. “It’s fortunate that you came into the clinic today and this was caught this during
your routine examination.”
b. “We will need to reevaluate the blood pressure because your age places you at a
high risk for hypertension.”
c. “You will need to have your blood pressure reassessed before a diagnosis can be
made.”
d. “You have no need to worry. Your blood pressure is probably elevated because
you are in the physician’s office.”
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