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Author Question: A patient with hypertension with a blood pressure of 168/110 mm Hg begins taking hydrochlorothiazide ... (Read 74 times)

jparksx

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on: Jul 23, 2018
A patient with hypertension with a blood pressure of 168/110 mm Hg begins taking hydrochlorothiazide and verapamil.
 
  The patient returns to the clinic after 2 weeks of drug therapy, and the nurse notes a blood pressure of 140/85 mm Hg and a heart rate of 98 beats per minute. What will the nurse do?
  a. Notify the provider and ask about adding a beta blocker medication.
  b. Reassure the patient that the medications are working.
  c. Remind the patient to move slowly from sitting to standing.
  d. Request an order for an electrocardiogram.

Question 2

A nurse checks a patient's vital signs in the hospital and notes a blood pressure of 146/98 mm Hg. What will the nurse do?
 
  a. Instruct the patient to consume a low-sodium diet.
  b. Prepare the patient for an electrocardiogram and blood tests.
  c. Recheck the patient's blood pressure in the other arm.
  d. Request an order for a thiazide diuretic.


guyanai

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Beta blockers are often added to drug regimens to treat reflex tachycardia, which is a common side effect of lowering blood pressure, caused by the baroreceptor reflex. The patient's blood pressure is responding to the medications, but the tachycardia warrants treatment. Reminding the patient to move slowly from sitting to standing is appropriate with any blood pressure medication, but this patient has reflex tachycardia, which must be treated. An electrocardiogram is not indicated.

Answer to Question 2

ANS: C
Diagnosis of hypertension should be based on several blood pressure readings, not just one. High readings should be confirmed in the contralateral arm. Low-sodium diets are indicated for patients with confirmed hypertension. An electrocardiogram and blood tests are indicated for patients with confirmed hypertension to rule out primary causes. Thiazide diuretics are first-line drugs for confirmed hypertension.


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jparksx

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


guyanai

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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