Cardiac Question #43
The nurse is caring for an older adult diagnosed with primary hypertension and is preparing an education plan for beta-blocker medication and management of hypertension while at home. Which health promotion education is most important for the nurse to include?
- Make sure to drink plenty of fluids to prevent dehydration.
- Change positions slowly, rise slowly, and use supports to prevent falls
- Do not engage in exercise until the medication is in the system for 6 weeks.
- Eat at least 2000 calories per day
Cardiovascular changes are associated with impaired cardiovascular reflexes and may cause postural hypotension that can result in dizziness and increase risk for falls. Teaching the client to change positions slowly, rise slowly, and use supports may help prevent accidental falls resulting from dizziness. The nurse should not instruct on fluid consumption as the client may have restrictions in fluids. The nurse should not instruct on holding off any exercise since light to moderate regular exercise may be beneficial. The nurse should not instruct on specific calories per day but should support teaching that includes fruits, vegetables, and low-fat dairy/milk products.
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