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Author Question: A patient has had hypertension for approximately 7 years and now is interested in becoming pregnant. ... (Read 39 times)

audie

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on: Jul 23, 2018
A patient has had hypertension for approximately 7 years and now is interested in becoming pregnant. What is the best antihypertensive drug for this woman, who is about to become preg-nant?
 
  a. Aliskiren (Tekturna)
  b. Lisinopril (Prinivil)
  c. Methyldopa (Aldomet)
  d. Valsartan (Diovan)

Question 2

A nurse working at an infertility clinic is working with an infertile patient who suffers from endometriosis and is considering therapy with either surgery or medications.
 
  To assist the patient in making an informed decision, the nurse should provide what education that is most pertinent? a. Surgery is unlikely to improve her chances of conception.
  b. Only medications can enhance fertility.
  c. Surgery reduces symptoms and can enhance fertility.
  d. Medical therapy is less costly.


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shaikhs

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

C
Methyldopa (Aldomet) is the only antihypertensive drug that should be taken by pregnant wom-en or women who want to become pregnant, because it does not cause fetal harm.
Pregnant woman should not take direct renin inhibitors Aliskiren (Tekturna), ACE inhibitors Lisinopril (Prinivil), or angiotensin-receptor blockers (ARBs) Valsartan (Diovan), because they cause fetal harm.

Answer to Question 2

C
The most pertinent education the nurse should provide is that surgery reduces symptoms and can enhance fertility.
Surgery is not likely to improve the patient's chances of conception.
Medications are not the only option to enhance fertility.
Medication therapy is not less costly than surgery.


audie

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Reply #2 on: Jul 23, 2018
Thanks


shaikhs

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Reply #3 on: Jul 23, 2018
Welcome :)


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