The nurse works in a clinic that has many African American ...

[craiczarry]

The nurse works in a clinic that has many African American patients. What would the nurse need to consider when caring for patients with hypertension? (Select all that apply.)
 
  A) African American men are at highest risk for hypertension.
  B) African Americans respond best to single-drug therapy.
  C) African Americans are most responsive to angiotensin-converting enzyme inhibitors.
  D) Increased adverse effects occur when using thiazide and thiazide-like diuretics.
  E) First-line use of a calcium channel blocker with changes to lifestyle is best in African Americans.

Question 2

The patient was involved in a motor vehicle accident and experienced a severe closed head injury resulting in increased intracranial pressure.
 
  While intubating the patient, his or her heart rate dropped and did not return to acceptable levels after the tube was in place so the nurse received an order to administer atropine. The physician is performing an exam to determine whether brain death has occurred. What assessment for brain death will be postponed until all atropine is excreted and no longer exerting an effect. A) Pupil response
  B) Electroencephalogra m
  C) Brainstem reflexes
  D) Computed tomographic scan of the brain

[lgoldst9]

Answer to Question 1

A, B, D
Feedback:
In the United States, African Americans are at highest risk for developing hypertension, with men more likely than women to develop the disease. African Americans are most responsive to single-drug therapy (as opposed to combination drug regimens). African Americans are less responsive to angiotensin-converting enzyme inhibitors and beta-blockers. Increased adverse effects (e.g., depression, fatigue, drowsiness) often occur when using thiazide and thiazide-like diuretics. Because African Americans are more responsive to diuretics, the treatment approach should include the first-line use of a diuretic in combination with diet and other lifestyle changes.

Answer to Question 2

A
Feedback:
One test for neurological function is to shine a light in the patient's eyes to test pupil reaction to light. Because this patient has received atropine, pupils will be dilated and will not react normally to light. This could be mistaken as an indication of brain death if the nurse did not know atropine had been administered. This test will be postponed until the pupils are no longer dilated by the medication. The other tests would not have to be postponed because of atropine.

[craiczarry]

TY

[lgoldst9]

You're welcome