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Chapter 311.An older adult is newly diagnosed with primary hypertension and has just been started ona beta-blocker. The nurse’s health education should include which of the following?A)Increasing fluids to avoid extracellular volume depletion from the diuretic effect ofthe beta-blockerB)Maintaining a diet high in dairy to increase protein necessary to prevent organ damageC)Use of strategies to prevent falls stemming from postural hypotensionD)Limiting exercise to avoid injury that can be caused by increased intracranial pressureAns:CFeedback:Elderly people have impaired cardiovascular reflexes and are more sensitive to postural hypotension. The nurse teaches patients to change positions slowly when moving from lying or sitting positions to a standing position, and counsels elderly patients to use supportive devices as necessary to prevent falls that could result from dizziness. Lifestylechanges, such as regular physical activity/exercise, and a diet rich in fruits, vegetables, and low-fat dairy products, is strongly recommended. Increasing fluids in elderly patientsmay be contraindicated due to cardiovascular disease. Increased intracranial pressure is not a risk and activity should not normally be limited.
2.A patient with primary hypertension comes to the clinic complaining of a gradual onset of blurry vision and decreased visual acuity over the past several weeks. The nurse is aware that these symptoms could be indicative of what?3.A nurse is performing blood pressure screenings at a local health fair. While obtaining subjective assessment data from a patient with hypertension, the nurse learns that the patient has a family history of hypertension and she herself has high cholesterol and lipidlevels. The patient says she smokes one pack of cigarettes daily and drinks about a pack of beer every day. The nurse notes what nonmodifiable risk factor for hypertension?