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Question ⬇

Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]

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30. Treatment for hypertension is important in the prevention of heart failure. A nurse tells a client that the greatest decrease in blood pressure is most likely to occur with:

Choices

Choices ⬆ ⬇

1. Increasing physical activity.

2. Reducing sodium intake.

3. Limiting alcohol intake.

4. Weight loss.

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

All options are correct, but weight loss produces the greatest drop. Diagrammatically visualize these measures:

↑ Physical activity → weight ↓ 

↓ Na+ → ↓ weight

↓ Alcohol intake → ↓ weight

Content Area: Adult Health, Cardiovascular; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Health and Wellness

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Rationale ⬆

Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]

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4.  

Answer 1 is incorrect because increasing activity may drop the systolic BP up to 9 mm Hg. Answer 2 is incorrect because limiting sodium only lowers the systolic BP by 8 mm Hg. Answer 3 is incorrect because limiting alcohol will likely only lower the systolic BP by 2 to 4 mm Hg. Answer 4 is correct because a weight loss of 10 kg can reduce the systolic BP up to 20 mm Hg.

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