Medical Surgical Hypertension #3

Question

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

Answers

  1. Avoid foods high in potassium and carbohydrates.
    • Rationale:

      This answer is not correct because the client should eat a low-sodium diet, avoid a high potassium and carbohydrate diet. Maintaining exercise on a regular basis for at least 30 minutes is a lifestyle change to help prevent progression of hypertension.

  2. Maintain exercise on a regular basis for at least 30 minutes.
    • Rationale:

      This answer is correct because maintaining exercise on a regular basis for at least 30 minutes is a lifestyle change to help prevent progression of hypertension. The client should find an activity they enjoy to help with compliance. Decreasing stress, eating a low-sodium diet, and maintaining a healthy weight helps to maintain a good blood pressure.

  3. Limit protein and gradually progress to vegetarian lifestyle.
    • Rationale:

      This answer is not correct because limiting protein and gradually progressing to a vegetarian lifestyle is not recommended; however, having a dietary protein intake especially from plant sources may be beneficial in helping to lower blood pressure. Maintaining exercise on a regular basis for at least 30 minutes is a lifestyle change that can help prevent progression of hypertension. Decreasing stress, eating a low-sodium diet, and maintaining a healthy weight helps to maintain a good blood pressure.

  4. Limit strenuous activities to non-aerobic, non-weight bearing.
    • Rationale:

      This answer is not correct because lack of exercise and non-aerobic, non-weight bearing are not beneficial. Maintaining exercise on a regular basis for at least 30 minutes is a lifestyle change that can help prevent progression of hypertension. Walking a low-impact exercise is often recommended. Decreasing stress, eating a low-sodium diet, and maintaining a healthy weight helps to maintain a good blood pressure.

Overview

Uncontrolled hypertension can lead to many poor outcomes, including heart disease, stroke, and kidney disease. Maintaining exercise on a regular basis for at least 30 minutes is a lifestyle change to help prevent progression of hypertension.

Explanation

Learning Outcomes

Uncontrolled hypertension can lead to many poor outcomes, including heart disease, stroke, and kidney disease. Client’s should follow recommended lifestyle changes to help prevent these conditions and complications associated with these. Maintaining exercise on a regular basis for at least 30 minutes is a lifestyle change to help prevent progression of hypertension. The client should find an activity they enjoy to help with compliance. Decreasing stress, eating a low-sodium diet, and maintaining a healthy weight helps to maintain a good blood pressure.

Test Taking Tip

When considering the best overall exercise modes, generally walking, swimming, or using a recumbent bicycle to exercise are good choices, unless contraindicated otherwise. They are the most low-impact exercise modes.

Video Rationale