When taking blood pressure medications, it is important to reinforce education with the patient on which topics? Select all that apply.

Monitor pulse before taking medicine.

Continue taking medications even if feeling better.

Do not skip doses.

Eat a diet high in fats and processed food.

Exercise regularly.

Answer and Explanation

Correct Answer : A,B,C,E

A. Monitor pulse before taking medicine: For certain blood pressure medications, such as beta blockers or some calcium channel blockers, monitoring the pulse is important because these medications can lower the heart rate. Patients should be advised to check their pulse and report if it is too low.
B. Continue taking medications even if feeling better: It is crucial for patients to understand that antihypertensive medications manage symptoms but do not cure hypertension. Stopping the medication can lead to a rebound effect, potentially causing dangerously high blood pressure.
C. Do not skip doses: Regular intake of medication is essential for maintaining stable blood pressure levels. Missing doses can lead to ineffective control of hypertension and increase the risk of complications.
D. Eat a diet high in fats and processed food: This is incorrect. Patients should be advised to eat a healthy, balanced diet low in fats and processed foods to help manage their blood pressure and overall cardiovascular health.
E. Exercise regularly: Regular physical activity helps in controlling blood pressure and improving overall cardiovascular health. It is important to include exercise as part of lifestyle modifications for managing hypertension.

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Correct Answer is C

Explanation

A. Asks patient to self-position leg: This is not advisable because the patient may not have the strength or capability to safely reposition the leg, especially if they are in pain or sedated.
B. Monitors dampness of cast and avoids moving it until it is dry: The cast may need to be moved before it is completely dry, for example, for patient comfort or to prevent pressure ulcers. Delaying repositioning may cause complications.
C. Uses palms to move the cast: This is the correct method. Using the palms prevents indentations in the cast that could create pressure points and lead to skin breakdown. Fingers can create pressure points that can dent the cast, compromising its integrity and potentially causing skin issues.
D. Uses fingers to grasp cast: Using fingertips can create indentations in the cast, which can lead to pressure sores or improper bone alignment.

A. Apply a heating pad on a low setting to help relieve leg pain. B. Wear anti-embolic stockings during the day. C. Rest with the legs above heart level. D. Adjust the thermostat so that the environment is warm.

Correct Answer is D

Explanation

A. Apply a heating pad on a low setting to help relieve leg pain: Applying direct heat can increase the risk of burns due to reduced sensation in PAD patients. Heat also causes vasodilation, which might exacerbate symptoms of PAD.
B. Wear anti-embolic stockings during the day: Anti-embolic stockings can restrict arterial blood flow in PAD patients, worsening symptoms like claudication.
C. Rest with the legs above heart level: Elevating legs above heart level is contraindicated in PAD because it can decrease arterial blood flow to the extremities, worsening ischemic pain.
D. Adjust the thermostat so that the environment is warm: Keeping the environment warm helps to promote blood flow and reduce symptoms of PAD. Cold environments can cause vasoconstriction, worsening ischemia in the extremities.

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When taking blood pressure medications, it is important to reinforce education with the patient on which topics? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient sustains a closed fracture of the right tibia and is placed in a long-leg plaster cast, which is still damp. Which of the following methods does the nurse use to move the cast when repositioning it to prevent complications?

Correct Answer is C

Explanation

A nurse is reinforcing discharge teaching with an older adult client who has peripheral artery disease (PAD). Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

The LPN/LVP is discussing types of hypertension with a patient. Which statement by the patient would reflect understanding of secondary hypertension?

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A patient is having difficulty swallowing following a stroke, and a swallowing evaluation is ordered. Which nursing interventions might be recommended to help prevent aspiration during eating? Select all that apply. (Select All that Apply.)

When taking blood pressure medications, it is important to reinforce education with the patient on which topics? Select all that apply.

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