Answer to Question 1
B
Evidence-based guidelines suggest that optimal control of hypertension to less than 130/80 mm Hg could prevent 37 of cardiovascular disease in men and 56 in women, so this patient, although showing improvement, could benefit from the addition of another medication. An angiotensin-converting enzyme inhibitor is an appropriate drug for patients who also have diabetes. B-Blockers and aldosterone antagonist medications are not recommended for patients with diabetes.
Answer to Question 2
A
It is important for primary care providers to be familiar with these products and their ingredients so that they can help patients choose the safest product for their ailments. Because there are few evidence-based recommendations for the use of these products, NPs should not prescribe them. Counseling patients to stop using the products would probably not be effective; it is more important to know about the products to assist patients in decision making. Although it is true that the products are not directly regulated by the Food and Drug Administration (FDA), there are agencies that maintain safety of the products.
Patient Teaching
The Workout (Primary Conditioning Period)
A computerized patient registration form used by offices with electronic health records.
Antidiabetic Drugs for Type 2 Diabetes
Denture sore mouth in a patient who never removed partial dentures at night.
Graphs of Primary Trigonometric Ratios