A patient is diagnosed with borderline hypertension and states a desire to make lifestyle changes to avoid needing to take medication.
The nurse advises:
Changing from weight-bearing exercise to yoga.
Decreased fluid intake and increased potassium intake.
Stress reduction and increased protein intake.
Weight reduction and decreased sodium intake.
The Correct Answer is D
Choice A rationale
Weight-bearing exercises are beneficial for cardiovascular health and bone density, and substituting them with yoga may not address the underlying factors contributing to hypertension.
Choice B rationale
Decreased fluid intake is not generally recommended as it can lead to dehydration, which may negatively impact blood pressure. Increased potassium intake is beneficial, but not reducing fluid intake.
Choice C rationale
Stress reduction is indeed beneficial for managing hypertension, but increased protein intake is not specifically indicated for lowering blood pressure and may have other health implications.
Choice D rationale
Weight reduction and decreased sodium intake are well-established lifestyle changes for managing hypertension. Reducing sodium helps lower blood pressure, and weight loss reduces the strain on the cardiovascular system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Step 1 is (120 mL ÷ 60 min) × 15 gtt/mL.
Step 2 is (2 mL/min) × 15 gtt/mL.
Step 3 is 30 gtt/min.
Final calculated answer is 30 gtt/min.
Correct Answer is D
Explanation
Choice A rationale
Coagulation studies assess the blood's ability to clot and are not directly related to the monitoring of phenytoin therapy. These tests are more relevant for patients with bleeding disorders or those on anticoagulant therapy.
Choice B rationale
Serum electrolytes, including levels of sodium, potassium, and calcium, are important for overall health but are not specifically indicative of phenytoin levels. Phenytoin may affect calcium metabolism, but it is not the primary focus for routine monitoring.
Choice C rationale
Renal function tests are crucial for assessing kidney function but do not directly monitor phenytoin therapy. Phenytoin is primarily metabolized in the liver, making liver function tests more relevant.
Choice D rationale
Blood glucose levels should be monitored in patients taking phenytoin as the drug can cause alterations in blood glucose levels. Both hypoglycemia and hyperglycemia have been reported, so it is important to check glucose levels to ensure they remain within a normal range.
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