This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient has been taking chlorthalidone to treat hypertension. The patient's prescriber has just ... (Read 23 times)

fbq8i

  • Hero Member
  • *****
  • Posts: 527
on: Jul 23, 2018
A patient has been taking chlorthalidone to treat hypertension. The patient's prescriber has just ordered the addition of spironolactone to the patient's drug regimen. Which statement by the patient indicates a need for further teaching?
 
  a. I should continue following the DASH diet when adding this drug.
  b. I should not take an ACE inhibitor when adding this drug.
  c. I will need to take potassium supplements when adding this drug.
  d. I will not experience a significant increase in diuresis when adding this drug.

Question 2

A nurse is discussing how beta blockers work to decrease blood pressure with a nursing student. Which statement by the student indicates a need for further teaching?
 
  a. Beta blockers block the actions of angiotensin II.
  b. Beta blockers decrease heart rate and contractility.
  c. Beta blockers decrease peripheral vascular resistance.
  d. Beta blockers decrease the release of renin.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

mcni194

  • Sr. Member
  • ****
  • Posts: 311
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Spironolactone is given in addition to thiazide diuretics to balance potassium loss caused by the thiazide diuretic. Patients should be advised against taking potassium supplements with spironolactone, because hyperkalemia can result. The DASH diet may be continued. ACE inhibitors are contraindicated because they promote hyperkalemia. Spironolactone does not significantly increase diuresis.

Answer to Question 2

ANS: A
Beta blockers reduce the release of renin by blockade of beta1 receptors on juxtaglomerular cells in the kidney, which reduces angiotensin II-mediated vasoconstriction, but do not block the actions of angiotensin II directly. Beta blockers decrease heart rate and cardiac contractility, decrease peripheral vascular resistance, and decrease the release of renin.


fbq8i

  • Member
  • Posts: 527
Reply 2 on: Jul 23, 2018
Wow, this really help

Dnite

  • Member
  • Posts: 297
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

Giardia is one of the most common intestinal parasites worldwide, and infects up to 20% of the world population, mostly in poorer countries with inadequate sanitation. Infections are most common in children, though chronic Giardia is more common in adults.

Did you know?

Though the United States has largely rejected the metric system, it is used for currency, as in 100 pennies = 1 dollar. Previously, the British currency system was used, with measurements such as 12 pence to the shilling, and 20 shillings to the pound.

Did you know?

Illicit drug use costs the United States approximately $181 billion every year.

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Patient with typical rheumatoid arthritis contractures. Patient with typical rheumatoid arthritis contractures.
The reminder card should be completed and handed to the patient after the appointment is scheduled. The reminder card should be completed and handed to the patient after the appointment is scheduled.
Preoperative and Postoperative Patient Instructions Preoperative and Postoperative Patient Instructions
Aquamatic pad and heating unit provide dry heat treatment to a patient’s arm. Aquamatic pad and heating unit provide dry heat treatment to a patient’s arm.
Algorithm for assessing a patient at risk for self-directed violence. Algorithm for assessing a patient at risk for self-directed violence.
Hypertension Hypertension
Video: Exercise and cardiac output & Definition of stroke volume

For a complete list of videos, visit our video library