« previous next »

Author Question: A patient with hypertension with a blood pressure of 168/110 mm Hg begins taking hydrochlorothiazide ... (Read 62 times)

jparksx

  • Hero Member
  • *****
  • Posts: 570
on: Jul 23, 2018
A patient with hypertension with a blood pressure of 168/110 mm Hg begins taking hydrochlorothiazide and verapamil.
 
  The patient returns to the clinic after 2 weeks of drug therapy, and the nurse notes a blood pressure of 140/85 mm Hg and a heart rate of 98 beats per minute. What will the nurse do?
  a. Notify the provider and ask about adding a beta blocker medication.
  b. Reassure the patient that the medications are working.
  c. Remind the patient to move slowly from sitting to standing.
  d. Request an order for an electrocardiogram.

Question 2

A nurse checks a patient's vital signs in the hospital and notes a blood pressure of 146/98 mm Hg. What will the nurse do?
 
  a. Instruct the patient to consume a low-sodium diet.
  b. Prepare the patient for an electrocardiogram and blood tests.
  c. Recheck the patient's blood pressure in the other arm.
  d. Request an order for a thiazide diuretic.


guyanai

  • Sr. Member
  • ****
  • Posts: 349
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Beta blockers are often added to drug regimens to treat reflex tachycardia, which is a common side effect of lowering blood pressure, caused by the baroreceptor reflex. The patient's blood pressure is responding to the medications, but the tachycardia warrants treatment. Reminding the patient to move slowly from sitting to standing is appropriate with any blood pressure medication, but this patient has reflex tachycardia, which must be treated. An electrocardiogram is not indicated.

Answer to Question 2

ANS: C
Diagnosis of hypertension should be based on several blood pressure readings, not just one. High readings should be confirmed in the contralateral arm. Low-sodium diets are indicated for patients with confirmed hypertension. An electrocardiogram and blood tests are indicated for patients with confirmed hypertension to rule out primary causes. Thiazide diuretics are first-line drugs for confirmed hypertension.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

jparksx

  • Hero Member
  • *****
  • Posts: 570
Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


guyanai

  • Sr. Member
  • ****
  • Posts: 349
Reply #3 on: Jul 23, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

People with alcoholism are at a much greater risk of malnutrition than are other people and usually exhibit low levels of most vitamins (especially folic acid). This is because alcohol often takes the place of 50% of their daily intake of calories, with little nutritional value contained in it.

Did you know?

Patients should never assume they are being given the appropriate drugs. They should make sure they know which drugs are being prescribed, and always double-check that the drugs received match the prescription.

Did you know?

Pink eye is a term that refers to conjunctivitis, which is inflammation of the thin, clear membrane (conjunctiva) over the white part of the eye (sclera). It may be triggered by a virus, bacteria, or foreign body in the eye. Antibiotic eye drops alleviate bacterial conjunctivitis, and antihistamine allergy pills or eye drops help control allergic conjunctivitis symptoms.

Did you know?

About 100 new prescription or over-the-counter drugs come into the U.S. market every year.

Did you know?

Signs of depression include feeling sad most of the time for 2 weeks or longer; loss of interest in things normally enjoyed; lack of energy; sleep and appetite disturbances; weight changes; feelings of hopelessness, helplessness, or worthlessness; an inability to make decisions; and thoughts of death and suicide.

Herniated intervertebral disk: the herniated nucleus pulposus is applying pressure Herniated intervertebral disk: the herniated nucleus pulposus is applying pressure
Caring for a patient on isolation precautions cont'd Caring for a patient on isolation precautions cont'd
Blood Glucose Levels Blood Glucose Levels
Patient with osteoarthritis. Patient with osteoarthritis.
Blood Flow Through Capillaries Blood Flow Through Capillaries
Blood Groups and Blood Types Blood Groups and Blood Types
Video: Double Vacuum Process (Illustration No Audio)

For a complete list of videos, visit our video library