A nurse is caring for a client with hypertension and instructs them on self-monitoring blood pressure at home. What should the nurse include in the teaching?
"Check your blood pressure once a week, preferably at the same time each day."
"Use the arm with the highest blood pressure reading consistently for accurate monitoring."
"Rest for at least 5 minutes before taking your blood pressure, and sit with your legs crossed to stabilize your posture."
"Record your blood pressure readings and any symptoms you experience in a journal for your healthcare provider to review."
The Correct Answer is D
A) This option is incorrect. Checking blood pressure once a week is insufficient for effective monitoring, as it may not provide a comprehensive view of blood pressure trends.
B) This option is incorrect. Using the arm with the highest blood pressure reading consistently is not recommended. Blood pressure should be measured in the arm with the higher reading only if there
is a significant difference between the arms.
C) This option is incorrect. To obtain accurate blood pressure readings, the client should rest for at least 5 minutes in a comfortable seated position with their feet flat on the floor and arms supported at heart level. Crossing the legs may affect blood flow and accuracy of the reading.
D) Correct answer. Recording blood pressure readings and any symptoms in a journal is essential for effective self-monitoring. It provides valuable information for the healthcare provider to assess blood pressure control and make necessary adjustments to the treatment plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) This option is incorrect. A high-sodium diet can exacerbate hypertension by causing fluid retention and raising blood pressure.
B) This option is incorrect. Smoking is a risk factor for hypertension and can lead to vasoconstriction, increasing blood pressure.
C) This option is incorrect. Regular physical activity is recommended for hypertension management as it can help improve cardiovascular health and lower blood pressure.
D) Correct answer. Maintaining a healthy weight and engaging in regular exercise are important lifestyle modifications for managing hypertension. Weight reduction and physical activity can help improve blood pressure control and overall cardiovascular health.
Questions
Correct Answer is C
Explanation
A) This option is incorrect. Hypertensive encephalopathy results from severe and uncontrolled hypertension, causing brain swelling. It is not directly associated with hypertensive heart disease.
B) This option is incorrect. Atherosclerosis is a common complication of hypertension but is not specifically related to hypertensive heart disease.
C) Correct answer. Hypertensive heart disease refers to changes in the heart muscle structure due to chronic high blood pressure. Left ventricular hypertrophy (LVH) is a common consequence of uncontrolled hypertension, where the left ventricle of the heart becomes thickened and enlarged.
D) This option is incorrect. Peripheral artery disease (PAD) is caused by atherosclerosis in the peripheral arteries and is not directly related to hypertensive heart disease.
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