Author Question: The nurse obtains a blood pressure of 176/83 mm Hg for a patient. What is the patient's mean ... (Read 59 times)

stephzh · **on:** Jun 25, 2018

The nurse obtains a blood pressure of 176/83 mm Hg for a patient. What is the patient's mean arterial pressure (MAP)?

What will be an ideal response?

Question 2

The nurse is caring for a 70-year-old who uses hydrochlorothiazide (HydroDIURIL) and enalapril (Norvasc), but whose self-monitored blood pressure (BP) continues to be elevated. Which patient information may indicate a need for a change?

a. Patient takes a daily multivitamin tablet.
b. Patient checks BP daily just after getting up.
c. Patient drinks wine three to four times a week.
d. Patient uses ibuprofen (Motrin) daily to treat osteoarthritis.

TINA · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS:
114 mm Hg
MAP = (SBP + 2 DBP)/3

Answer to Question 2

ANS: D
Because use of nonsteroidal antiinflammatory drugs (NSAIDs) can prevent adequate BP control, the patient may need to avoid the use of ibuprofen. A multivitamin tablet will help supply vitamin D, which may help lower BP. BP decreases while sleeping, so self-monitoring early in the morning will result in obtaining pressures that are at their lowest. The patient's alcohol intake is not excessive.