An occupational health nurse is developing a comprehensive lifestyle modification plan for a 65-year-old night-shift security guard who has newly diagnosed primary hypertension and a body mass index (BMI) of 31 kg/m². Which of the following nursing interventions are appropriate? Select all that apply.
- Advise the client to install blackout window shades and maintain a consistent daytime sleep schedule, even on days off.Cevap
- Collaborate with the client to establish a goal of at least 150 minutes of moderate-intensity aerobic exercise per week.Cevap
- Educate the client on the Dietary Approaches to Stop Hypertension (DASH) eating plan, emphasizing a daily sodium limit of less than 2,300 mg.Cevap
- DDelegate the initial dietary assessment and daily caloric requirement calculation to the Unlicensed Assistive Personnel (UAP).
- EExplain to the client that a persistent systolic blood pressure of 150 mm Hg is a normal, expected physiological change of aging.
- FAsk the client, 'Why did you allow your weight to reach this level before seeking medical guidance?' to motivate behavioral change.
Cevap
The correct interventions are advising the client on shift-worker sleep hygiene (blackout shades, consistent schedule), establishing a goal of 150 minutes of weekly aerobic exercise, and educating on the DASH diet with sodium restriction.
Appropriate lifestyle modifications for this client include addressing sleep disturbances common in night-shift workers by promoting a dark sleeping environment and a consistent daytime sleep schedule. Furthermore, evidence-based cardiovascular risk reduction requires participating in at least 150 minutes of moderate aerobic exercise weekly and adhering to the DASH eating plan, which includes a sodium limit of less than 2,300 mg per day to effectively manage primary hypertension.
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Anahtar Kavram
Comprehensive lifestyle modification for cardiovascular risk reduction and occupational sleep hygiene.