The nurse is caring for an African American male recently ...

[jrubin]

The nurse is caring for an African American male recently diagnosed with hypertension. The nurse anticipates that this client will be started on which medications?
 
  Standard Text: Select all that apply.
  1. A thiazide diuretic
  2. A calcium channel blocker
  3. An ACE inhibitor
  4. A beta-adrenergic antagonist
  5. An angiotensin II receptor blocker

Question 2

The nurse is educating a client diagnosed with hypertension and explains that which criteria will be used to determine medication management for the client?
 
  Standard Text: Select all that apply.
  1. Risk factors
  2. Comorbid medical conditions
  3. Age
  4. Degree of blood pressure elevation
  5. Occupational status

[allisonblackmore]

Answer to Question 1

Correct Answer: 1,2
Rationale 1: Thiazide diuretics seem to provide the greatest blood pressure reduction in this population.
Rationale 2: Calcium channel blockers seem to provide the greatest blood pressure reduction in this population.
Rationale 3: Monotherapy with ACE inhibitors does not reduce blood pressure as effectively in African Americans as in other groups.
Rationale 4: Monotherapy with beta-adrenergic antagonists does not reduce blood pressure as effectively in African Americans as in other groups.
Rationale 5: Monotherapy with angiotensin II receptor blockers does not reduce blood pressure as effectively in African Americans as in other groups.
Global Rationale: Thiazide diuretics and calcium channel blockers seem to provide the greatest blood pressure reduction in this population. Monotherapy with ACE inhibitors, beta-adrenergic antagonists, and angiotensin II receptor blockers do not reduce blood pressure as effectively in African Americans as in other groups.

Answer to Question 2

Correct Answer: 1,2,4
Rationale 1: The client's risk factors guide the pharmacotherapy of hypertension.
Rationale 2: The client's comorbid medical conditions guide the pharmacotherapy of hypertension.
Rationale 3: The client's age is not a factor in the pharmacotherapy of hypertension.
Rationale 4: The client's degree of hypertension guides the pharmacotherapy of hypertension.
Rationale 5: The client's current occupation is not a factor in the pharmacotherapy of hypertension.
Global Rationale: The client's risk factors, comorbiditis, and the degree of hypertension guide the pharmacotherapy to treat hypertension. The client's age and occupation are not factors in the pharmacotherapy of hypertension.

[jrubin]

TY

[allisonblackmore]

You're welcome