This topic contains a solution. Click here to go to the answer

Author Question: A patient who does not consume alcohol or nicotine products reports a strong family history of ... (Read 67 times)

craiczarry

  • Hero Member
  • *****
  • Posts: 527
A patient who does not consume alcohol or nicotine products reports a strong family history of hypertension and cardiovascular disease.
 
  The patient has a blood pressure of 126/82 and a normal weight and body mass index for height and age. The nurse will expect to teach this patient about:
  a. ACE inhibitors and calcium channel blocker medications.
  b. the DASH diet, sodium restriction, and exercise.
  c. increased calcium and potassium supplements.
  d. thiazide diuretics and lifestyle changes.

Question 2

A patient has had blood pressures of 150/95 mm Hg and 148/90 mm Hg on two separate office visits. The patient reports a blood pressure of 145/92 mm Hg taken in an ambulatory setting.
 
  The patient's diagnostic tests are all normal. The nurse will expect this patient's provider to order:
  a. a beta blocker.
  b. a loop diuretic and spironolactone.
  c. a thiazide diuretic.
  d. counseling on lifestyle changes.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

juliaf

  • Sr. Member
  • ****
  • Posts: 344
Answer to Question 1

ANS: B
This patient has prehypertension without other risk factors. Lifestyle changes are indicated at this point. If blood pressure rises to hypertension levels, other measures, including drug therapy, will be initiated. Calcium and potassium supplements are not indicated.

Answer to Question 2

ANS: C
This patient has primary, or essential, hypertension as evidenced by systolic pressure greater than 140 and diastolic pressure greater than 90, along with normal tests ruling out another primary cause. Thiazide diuretics are first-line drugs for hypertension. Beta blockers are effective, but are most often used to counter reflex tachycardia associated with reduced blood pressure caused by therapeutic agents. Loop diuretics cause greater diuresis than is usually needed and so are not first-line drugs. This patient should be counseled on lifestyle changes as an adjunct to drug therapy, but should also begin drug therapy because hypertension already exists.




craiczarry

  • Member
  • Posts: 527
Reply 2 on: Jul 23, 2018
:D TYSM


ecabral0

  • Member
  • Posts: 310
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

The term bacteria was devised in the 19th century by German biologist Ferdinand Cohn. He based it on the Greek word "bakterion" meaning a small rod or staff. Cohn is considered to be the father of modern bacteriology.

Did you know?

There are 20 feet of blood vessels in each square inch of human skin.

Did you know?

Adolescents often feel clumsy during puberty because during this time of development, their hands and feet grow faster than their arms and legs do. The body is therefore out of proportion. One out of five adolescents actually experiences growing pains during this period.

Did you know?

Elderly adults are living longer, and causes of death are shifting. At the same time, autopsy rates are at or near their lowest in history.

Did you know?

According to research, pregnant women tend to eat more if carrying a baby boy. Male fetuses may secrete a chemical that stimulates their mothers to step up her energy intake.

For a complete list of videos, visit our video library