Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
2. A client, who is overweight and has diabetes, has a blood pressure of 148/92 mm Hg. The client's urinalysis reveals microalbuminuria. The client does not want to take drugs despite a family history of brain attack (cerebrovascular accident [CVA]). The correct response by a nurse is:
. "Find herbal products to reduce blood pressure and weight."
. "Use a drug while lifestyle changes are instituted."
. "Evaluate barriers to weight loss and make a plan for exercising and dieting."
. "Recheck blood pressure weekly."
Test-Taking Tip
Only one option will definitely reduce the BP—drug therapy.
Content Area: Adult Health, Cardiovascular; Integrated Process: Communication and Documentation; Cognitive Level: Application; Client Need/Subneed: Psychosocial Integrity/Therapeutic Communications
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is incorrect because herbs have not been adequately tested for managing a disease this significant. Answer 2 is correct because this is an impending disaster. The client has genetic risks and risks from hypertension (HTN), obesity, and diabetes. The client already has early renal disease. While losing weight and exercising potentially could bring down the client's BP to under 130/80, the client will be exposed to risks over the months it will take to change. Answer 3 is incorrect because, while losing weight and exercising potentially could bring down the client's BP under 130/80 mm Hg, the client will be exposed to risks over the months it will take to change. Answer 4 is incorrect because this is an impending disaster. A client has genetic risks, and risks from HTN, obesity, and diabetes. A client who already has renal disease needs treatment, not just assessment.