Which dietary choice is most appropriate and should be encouraged by the nurse for a client diagnosed with hypertension?

Which dietary choice is most appropriate and should be encouraged by the nurse for a client diagnosed with hypertension?

Stay up to date on the latest facts about hypertension and related conditions from the CDC.

High Blood Pressure: Medicines to Help You: This guide from the U.S. Food and Drug Administration can help you better understand blood pressure medicines and talk to a health care provider about what is right for you.

  • Cardiomyopathy
  • Chronic Kidney Disease
  • Diabetes
  • Heart Disease
  • Heart Failure
  • Overweight and Obesity
  • Physical Inactivity
  • Unhealthy Diet

Resources from Other Organizations

The following web sites include patient-friendly links and resources about hypertension (high blood pressure):

  • American Heart Association: High Blood Pressure
  • National Heart, Lung, and Blood Institute: High Blood Pressure
  • National Institute of Neurological Disorders and Stroke: Mind Your Risks®

Tools for Community Health Workers (CHWs)

Hispanic populations have low control rates for hypertension, a major risk factor for heart disease and stroke. Also, they have high prevalence of high blood cholesterol, and their diets are often high in salt and saturated fats. Reaching these audiences with effective messages about prevention can be challenging.

Promotoras and other CHWs are encouraged to read this fotonovela with participants:

  • English fotonovela: How to Control Your Fat and Cholesterol [PDF – 3.70 MB]
  • Spanish fotonovela:Cómo controlar la grasa y el cholesterol [PDF – 4.08 MB]

A Promotora/CHW Guide accompanies the How to Control Your Fat and Cholesterol fotonovela and gives these members of the health care team a brief summary of objectives, tips, additional activities, reviews, and reminders:

  • English promotora guide: How to Control Your Fat and Cholesterol: A Promotora Guide [PDF – 783 KB]
  • Spanish promotora guide: Cómo controlar la grasa y el colesterol: Guía de la promotora [PDF – 831 KB]

This is an easy-to-understand fact sheet about heart health (aspirin use when appropriate, blood pressure control, cholesterol management, and smoking cessation):

  • English version: ABCS of Heart Health [PDF – 278 KB]
  • Spanish version: 4 Pasos Adelante [PDF – 1.26 MB]

Which dietary choice is most appropriate and should be encouraged by the nurse for a client diagnosed with hypertension?

Practice healthy living habits, like being physically active, to help prevent high blood pressure.

By living a healthy lifestyle, you can help keep your blood pressure in a healthy range. Preventing high blood pressure, which is also called hypertension, can lower your risk for heart disease and stroke. Practice the following healthy living habits:

Eat a Healthy Diet

Choose healthy meal and snack options to help you avoid high blood pressure and its complications. Be sure to eat plenty of fresh fruits and vegetables.

Talk with your health care team about eating a variety of foods rich in potassium, fiber, and protein and lower in salt (sodium) and saturated fat. For many people, making these healthy changes can help keep blood pressure low and protect against heart disease and stroke.

The DASH (Dietary Approaches to Stop Hypertension) eating plan is a healthy diet plan with a proven record of helping people lower their blood pressure.1

Visit the CDC’s Nutrition, Physical Activity, and Obesity website to learn more about healthy eating and nutrition.

Keep Yourself at a Healthy Weight

Having overweight or obesity increases your risk for high blood pressure. To determine whether your weight is in a healthy range, doctors often calculate your body mass index (BMI). If you know your weight and height, you can calculate your BMI at CDC’s Assessing Your Weight website. Doctors sometimes also use waist and hip measurements to assess body fat.

Talk with your health care team about ways to reach a healthy weight, including choosing healthy foods and getting regular physical activity.

Be Physically Active

Physical activity can help keep you at a healthy weight and lower your blood pressure. The Physical Activity Guidelines for Americans recommends that adults get at least 2 hours and 30 minutes of moderate-intensity exercise, such as brisk walking or bicycling, every week. That’s about 30 minutes a day, 5 days a week. Children and adolescents should get 1 hour of physical activity every day.

Visit the website for CDC’s Division of Nutrition, Physical Activity, and Obesity to learn about ways you can be physically active.

Do Not Smoke

Smoking raises your blood pressure and puts you at higher risk for heart attack and stroke. If you do not smoke, do not start. If you do smoke, quitting will lower your risk for heart disease. Your doctor can suggest ways to help you quit.

For more information about tobacco use and quitting, see CDC’s Smoking and Tobacco Use Web site.

Limit How Much Alcohol You Drink

Do not drink too much alcohol, which can raise your blood pressure. Men should have no more than 2 alcoholic drinks per day, and women should have no more than 1 alcoholic drink per day. Visit the CDC’s Alcohol and Public Health website for more information.

Get Enough Sleep

Getting enough sleep is important to your overall health, and enough sleep is part of keeping your heart and blood vessels healthy. Not getting enough sleep on a regular basis is linked to an increased risk of heart disease, high blood pressure, and stroke.2 Visit CDC’s Sleep and Sleep Disorders website for resources on how to get better sleep.

References

  1. National Heart, Lung, and Blood Institute. Your Guide to Lowering Your Blood Pressure With DASH [PDF – 792K]. NIH Pub. No. 06-4082. Bethesda, MD: National Heart, Lung, and Blood Institute; 2006.
  2. National Heart, Lung, and Blood Institute. Sleep Deprivation and Deficiency. (2019). https://www.nhlbi.nih.gov/health-topics/sleep-deprivation-and-deficiency. Accessed October 7, 2019.

The most commonly reported lifestyle action taken by respondents was reducing salt intake (78.7%) and the least commonly reported was reducing alcohol intake (57.9% of those who drank).

Which lifestyle modifications should be taught to an individual with high blood pressure?

For most people, a normal blood pressure is less than 120/80. Hypertension is managed by lifestyle changes, medicines, or both. Lifestyle changes to help manage hypertension include losing weight, eating a healthy, low-sodium diet, exercising more, stopping smoking, and limiting alcohol.

What are the goals of antihypertensive therapy select all that apply?

The goal of antihypertensive therapy thus consists in reducing cardiovascular morbidity and mortality associated with arterial hypertension by a strategy focused on lowering blood pressure while minimizing the impact of other associated cardiovascular risk factors.

What specific drug classification would the nurse explain includes captopril?

Captopril is in a class of medications called angiotensin-converting enzyme (ACE) inhibitors. It decreases certain chemicals that tighten the blood vessels, so blood flows more smoothly and the heart can pump blood more efficiently.