Cardiac Question #42


The nurse is caring for a client diagnosed with pre-hypertension. The nurse initiates what type of instruction for lifestyle changes that may help prevent progression of the hypertension?


  1. Avoid foods high in potassium and carbohydrates.
    • Rationale:
  2. Maintain exercise on a regular basis for at least 30 minutes.
    • Rationale:
  3. Limit protein and gradually progress to vegetarian lifestyle.
    • Rationale:
  4. Limit strenuous activities to non-aerobic, non-weight bearing.
    • Rationale:



The client should maintain an exercise regimen on a regular basis. The client should observe sodium intake more than potassium intake, unless the client is also on spironolactone (a potassium sparing diuretic). Limiting protein and having vegetarian lifestyle is not recommended; however, having a dietary protein intake especially from plant sources may be beneficial in helping to lower blood pressure. Lack of exercise and non-aerobic, non-weight bearing are not beneficial.

Learning Outcomes

Test Taking Tip

Video Rationale