Author Question: The nurse is doing a holistic assessment on a patient prior to the initiation of antihypertensive ... (Read 124 times)

skymedlock · **on:** Jul 23, 2018

The nurse is doing a holistic assessment on a patient prior to the initiation of antihypertensive medication. What will the best assessment include?

1. Blood pressure
2. The cause of the hypertension
3. Mood
4. Level of education
5. Belief in a higher power

Question 2

The clinic nurse will immediately alert the health care provider when which category X drugs are identified on a recently diagnosed pregnant patient?

1. Tetracycline
2. ACE inhibitor antihypertensive medication
3. Methotrexate
4. Isotretinoin (Accutane)
5. Oral contraceptives

zogaridan · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,3,4,5
Rationale: Holistic health care incorporates the whole patient to include the biological (blood pressure), psychological (mood), sociocultural (level of education), and spiritual (belief in a higher power) dimensions. The cause of the hypertension focuses on a specific disease, its cause and treatment; this is a medical model, not a holistic model.

Answer to Question 2

Correct Answer: 3,4,5
Rationale 1: Tetracycline is in category D, not category X. It should be avoided during pregnancy, and the nurse should alert the health care provider.
Rationale 2: ACE inhibitor antihypertensive drugs are in category C and are considered safe during pregnancy.
Rationale 3: Methotrexate is in category X and should be avoided during pregnancy.
Rationale 4: Isotretinoin is in category X and should be avoided during pregnancy.
Rationale 5: Oral contraceptives are in category X and should be avoided during pregnancy.