A patient has three consecutive blood pressure readings of 140/95 ...

[casperchen82]

A patient has three consecutive blood pressure readings of 140/95 mm Hg. The patient's body mass index is 24 . A fasting plasma glucose is 100 mg/dL. Creatinine clearance and cholesterol tests are normal. The primary care NP should order:
 
  a. a b-blocker.
  b. an angiotensin-converting enzyme inhibitor.
  c. a thiazide diuretic.
  d. dietary and lifestyle changes.

Question 2

A patient asks a primary care NP why herbal supplements are not regulated by the FDA. The nurse practitioner should tell the patient these products are not regulated by the FDA because they are:
 
  a. natural, plant-based products and not man-made.
  b. not marketed as products that can treat or cure disease.
  c. regulated by the Dietary Supplement Health and Education Act.
  d. covered by the Hatch-Richardson Bill of 1992, which allows them to make health claims without FDA approval.

[scottmt]

Answer to Question 1

C
The patient has stage I hypertension. Because there are no compelling indications for other treatment, a thiazide diuretic should be used initially to treat the hypertension. Dietary and lifestyle changes should also be recommended but are not sufficient for patients with stage I hypertension. Other drugs may be added later if thiazide diuretic therapy fails.

Answer to Question 2

B
A manufacturer must comply with the rigorous standards of safety and efficacy set forth by the FDA only when the claim is made that a product can be used to treat or cure an illness or disease. The Hatch-Richardson Bill of 1992 defines herbal supplements as different from a food additive or drug. The Dietary Supplement Health and Education Act allows claims to be made as long as they are substantiated with evidence.

[casperchen82]

Both answers were spot on, thank you once again

[scottmt]

Great! Please up vote