Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
26. The blood pressure of a 28-year-old client who is overweight and does not have diabetes is 136/78 mm Hg. Client education should include:
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
26. The blood pressure of a 28-year-old client who is overweight and does not have diabetes is 136/78 mm Hg. Client education should include:
. Losing 20 pounds would bring the blood pressure down by as much as 20 points and reduce the risk of stroke.
. The need to recheck blood pressure weekly so medications can be started as soon as it goes over 140/90 mm Hg.
. The need for medications in clients who are overweight with a systolic blood pressure over 130/80 mm Hg.
. Acknowledging that the client has maintained a blood pressure within normal limits.
Test-Taking Tip
For prehypertension, look for a nondrug option first. Eliminate Answers 2 and 3 with "medications" in the options.
Content Area: Adult Health, Cardiovascular; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Lifestyle Choices
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
.
Answer 1 is correct because this client has prehypertension without compelling indications for drug treatment. Lifestyle changes are indicated. The client is not recognizing the risk. In one sentence, the risk to the client and how to control the risk were addressed. Answer 2 is incorrect because this is prehypertension and should be managed with lifestyle changes to include at least weight loss. Answer 3 is incorrect because this is prehypertension without compelling indications for drug treatment. Answer 4 is incorrect because this is prehypertension, not a normal blood pressure.