Which factor would be the first step in the management of hypertension?

A. Have the patient lie in bed with a pillow under the knees: Elevation of the legs can reduce blood flow to the feet, worsening symptoms. Additionally, putting a pillow under the knees can compress arteries further, exacerbating ischemia.
B. Evaluate the distal pulses: Assessing the distal pulses is crucial for determining the severity of blood flow impairment and helps in understanding the extent of peripheral arterial disease.
C. Cover the patient with a blanket: While warmth might provide some comfort, it does not address the underlying vascular issue and is not a primary intervention for this condition.
D. Notify the physician: While it may be necessary eventually, evaluating the patient's distal pulses first will provide critical information that the nurse can report to the physician.

A. I will be sure to avoid potassium while taking this medication.: Thiazide diuretics can cause potassium loss, so patients are often advised to monitor their potassium levels and may need to increase their intake, not avoid it.
B. I should take the medication in the morning so I am not up all night going to the bathroom.: This is correct. Taking diuretics in the morning helps prevent nocturia (frequent urination at night), which can disrupt sleep.
C. I need to be sure to take this pill on an empty stomach.: Thiazide-like diuretics do not require an empty stomach for effectiveness; they can be taken with or without food.
D. If my blood pressure is really high, I will take a second dose.: This is incorrect and potentially dangerous. Medication dosing should be followed as prescribed, and adjustments should only be made by a healthcare provider.