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

Author Question: A patient takes an ACE inhibitor to treat hypertension and tells the nurse that she wants to become ... (Read 212 times)

dakota nelson

  • Hero Member
  • *****
  • Posts: 604
A patient takes an ACE inhibitor to treat hypertension and tells the nurse that she wants to become pregnant. She asks whether she should continue taking the medication while she is pregnant. What will the nurse tell her?
 
  a. Controlling her blood pressure will de-crease her risk of preeclampsia.
  b. Ask the provider about changing to an ARB during pregnancy.
  c. Continue taking the ACE inhibitor during her pregnancy.
  d. Discuss using methyldopa instead while she is pregnant.

Question 2

A 14-year-old male patient has not begun puberty. His parents tell the nurse that their son does not want to go to school, because he gets teased. The nurse learns that the boy's father did not begin puberty until age 16 years.
 
  Laboratory tests on this child do not reveal true hypogonadism. What will the nurse tell these parents when they ask what can be done for their son? a. A limited course of androgen therapy may be prescribed, but it is not necessary.
  b. He will eventually begin puberty, so this is nothing to worry about.
  c. He will probably have to receive injec-tions of androgens for 3 to 4 years.
  d. The risk of accelerated growth plate clo-sure is too great to warrant androgen therapy.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

softEldritch

  • Sr. Member
  • ****
  • Posts: 334
Answer to Question 1

D
Methyldopa has limited effects on uteroplacental and fetal hemodynamics and does not adversely affect the fetus or neonate. Controlling blood pressure does not lower the risk of preeclampsia. ACE inhibitors and ARBs are specifically contraindicated during pregnancy.

Answer to Question 2

A
Although treatment is not required in this patient, the psychologic effects of delayed puberty in-dicate a limited course of androgen therapy. Telling the parents not to worry does not address their concerns. This patient will not be a candidate for long-term androgen replacement therapy. Limited treatment can minimize the risk of epiphyseal closure, especially with close monitoring and radiographs.



dakota nelson

  • Hero Member
  • *****
  • Posts: 604
Both answers were spot on, thank you once again




 

Did you know?

Barbituric acid, the base material of barbiturates, was first synthesized in 1863 by Adolph von Bayer. His company later went on to synthesize aspirin for the first time, and Bayer aspirin is still a popular brand today.

Did you know?

Only one in 10 cancer deaths is caused by the primary tumor. The vast majority of cancer mortality is caused by cells breaking away from the main tumor and metastasizing to other parts of the body, such as the brain, bones, or liver.

Did you know?

Adults are resistant to the bacterium that causes Botulism. These bacteria thrive in honey – therefore, honey should never be given to infants since their immune systems are not yet resistant.

Did you know?

In ancient Rome, many of the richer people in the population had lead-induced gout. The reason for this is unclear. Lead poisoning has also been linked to madness.

Did you know?

Your heart beats over 36 million times a year.

For a complete list of videos, visit our video library