Hypertension: NCLEX Priorities
HTN for NCLEX: BP categories, first-line drugs, lifestyle, treatment goals.
Hypertension is the most common chronic disease. NCLEX tests BP categories, drug selection, and lifestyle teaching.
Categories (ACC/AHA)
Normal <120/<80. Elevated 120-129/<80. Stage 1 130-139/80-89. Stage 2 ≥140/≥90. Crisis >180/>120.
First-line drugs
Thiazide diuretic, ACE/ARB, calcium channel blocker. Often started in combination if stage 2. Beta-blockers not first-line for uncomplicated HTN.
Lifestyle (DASH)
Low sodium (<2.3 g/day, ideally <1.5). Increase fruits/vegetables/whole grains. Limit alcohol. Exercise 150 min/week moderate. Weight loss if overweight.
Goal
<130/80 for most adults. Older patients individualized.
Frequently asked
Patient at 145/95, start drug?
Stage 2. Yes, plus lifestyle. Often combination therapy from start.
Best monitoring?
Home BP cuff. Same time daily. Average multiple readings.
Quick check
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