A nurse is working with an adolescent who is slightly overweight and was recently diagnosed with hypertension. They are discussing nutritional management. Which statement by the adolescent demonstrates understanding of the information?

Choice A rationale Fresh fruits and vegetables are essential components of the Dietary Approaches to Stop Hypertension (DASH) diet, which is effective for managing blood pressure. They are naturally low in sodium and fat while being high in potassium, calcium, and magnesium, all of which contribute to lowering blood pressure by promoting vasodilation and regulating fluid balance. Choice B rationale This statement demonstrates a poor understanding of nutritional management. Portion control is a key strategy for weight management and hypertension, regardless of the timing of the meal. Eating an unlimited amount at a meal, even without snacking, can lead to excessive calorie intake, contributing to weight gain and poor blood pressure control. Choice C rationale While some fruit juice contains nutrients, it is typically very high in natural sugars and often lacks the beneficial fiber found in whole fruits. Excessive consumption of high-sugar beverages can contribute to weight gain and increase the risk of metabolic syndrome, negatively affecting blood pressure control in an adolescent. Choice D rationale Skipping breakfast is an unhealthy habit that often leads to overeating later in the day, contributing to overall weight gain. A healthy pattern for managing weight and hypertension includes eating regular, balanced meals, including a nutritious breakfast, to maintain a steady metabolism and prevent overconsumption at subsequent meals.