A 67-year-old man is admitted to the hospital with pneumonia. He reports to the nurse that he has chronic arthritis and circulation problems. Further assessment by the nurse reveals that the patient has a history of mild hypertension.
He explains that he owns a business and lives alone. The nurse determines that he is within the normal weight range for his height and age but has a fondness for spicy foods and sweets. Which of the mentioned patient variables will have the greatest impact on the effectiveness of the patient's drug therapy?
A) Vascular impairment
B) Mild hypertension
C) Dietary habits
D) Chronic arthritis
Question 2
A patient with a longstanding diagnosis of chronic renal failure has experienced a significant decline in urine output in recent days, prompting him to seek care at a local clinic.
A nurse at the clinic has suggested to a colleague that the administration of a diuretic such as hydrochlorothiazide may improve the patient's urine output. How should the colleague best respond to this suggestion?
A) That would probably help, but we'd have to do blood work first.
B) Actually, patients with renal failure usually can't take hydrochlorothiazide .
C) That would only work if he could come in twice a day to get it intravenously.
D) Maybe, but hydrochlorothiazide affects the bladder more than the kidneys.
The patient and his family meet with the nurse to discuss progress on the patient care plan.
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