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fresh fruits and vegetables, and whole grains in the daily diet fat-free or low-fat dairy products. meats lower in cholesterol (eg, fish, poultry) and alternate protein sources (eg, legumes) instead of red meats Q: The nurse is reviewing a client's health history during a primary care visit.Which of the following findings should the nurse identify as risk factors for developing hypertension?Select all that apply.African American ethnicityDM Type 2Freq Stress at workLDL of 94 mg/dL (2.43 mmol/L)Smoking of 1 pack of cigarettes dailyNonmodifiable Increase agePositive family hxAfrican American ethnicityDM Type 1Modifiable Excess alcohol intakeSmokingObesityExcessive sodium intakeSedentary lifestyleIncreased stressFor clients with a newly implanted permanent pacemaker, the nurse should assess for electrical capture of heart rhythm (eg, ECG) and mechanical capture of heart rate (eg, pulse).A central pulse (eg, auscultation of apical, palpation of femoral) should be assessed to determine mechanical capturThe nurse is caring for a client who had a large anterior wall myocardial infarction (MI) 24 hours ago.Which finding ismostimportant to report to the health care provider (HCP)?Nausea and VomitingNew S3 heart sound Occasional unifocal PVCsTemperature of 100.4 F (38C) The new development ofpulmonary congestionon x-ray, auscultation of anew S3 heart sound,crackleson auscultation of breath sounds, orjugular venous distensioncan signalheart failureand shouldbe reported immediately to the HCP since theyQ: The nurse cares for a client with flash pulmonary edema secondary to acute heart failure.Furosemide 40 mg IVP and morphine 2 mg IVP are administered.Which findingbestindicates that treatment has been effective?BP 110/72Reduced anxietyRR decrease from 26/min to 18/minUrine output of 1L in past 2 hours Pulmonary edema, a potentially life-threatening condition, is commonly associated
Limiting intake of sweets, foods high in sodium (eg, potato chips, frozen meals, canned foods), and sugary beverages to the occasional treat 36. client dx 6 months ago hypertension and had a recent emergency department visit for a transient ischemic attack (TIA).BP today is 170/88 mm Hg.What teaching topic is apriorityfor the nurse to discuss with this client?Taking BP medication as prescribedA major problem with long-term management ofhypertensionispoor adherenceto the treatment plan.Blood pressure medications can haveunpleasant side effects, including fatigue, dizziness, and erectile dysfunction.Client may stop taking the medications when they believe their blood pressure has returned to normal range or if medications are expensive.HyperlipidemiaDM Type 2Untreated hypertension increases client risk for coronary artery disease, stroke, heart failure, and renal failure.Q: The nurse is caring for a client who just had a permanent ventricular pacemaker inserted.The nurse observes the cardiac monitor and sees a pacing spike followed by a QRS complex for each heartbeat.How shouldthe nurse assess for mechanical capture of the pacemaker?Auscultate the apical pulse rate A 12-lead ECG does not assess mechanical capture of cardiac activity via the client's pacemaker.indicate HF or Cardiogenic shock #keyword: hypertension prescribed hydrochlorothiazide, lisinopril, and clonidine, current BP 190/102 mm Hg, reports a HA lasted several days.question mostto asknext?How are you currently taking your BP medications?Amajor problem in the long-term management ofhypertensionispoor adherenceto the treatment plan, often due to unpleasant side effects (eg, fatigue, dizziness, reduced libido, erectile dysfunction) and medication cost. Determining whether a client is taking medications as prescribed is a priority, as sudden orabrupt discontinuationof antihypertensive medications can causerebound hypertensionand possiblyhypertensive crisis(eg, blurred vision, dizziness, severe headache, shortness of breath). with left-sided heart failure, in which fluid leaks across the capillary membranes into the alveoli, causing impaired gas exchange.IVdiuretics(eg, furosemide) andmorphinehelpreduce preloadanddecrease pulmonary congestion, whichimproves gas exchangeandrespiratory quality(eg, relief of dyspnea/tachypnea#The client is embarrassed to talk to the health