A patient who works on road construction has been diagnosed with ...

[Jramos095]

A patient who works on road construction has been diagnosed with hypertension.
 
  After attempting to decrease his blood pressure with lifestyle changes and a mild diuretic, it is determined that he will need to be placed on an angiotensin-converting enzyme (ACE) inhibitor. Based on his occupation, what is the nurse's priority assessment? A) Chronic constipation
  B) Excessive sweating on the job
  C) Three large meals a day
  D) One beer every night

Question 2

A patient has come to the clinic for a follow-up visit. He or she has been taking glycopyrrolate (Robinul) for adjunctive management of his or her peptic ulcer disease for 1 year. What would the nurse question this patient about?
 
  A) Diarrhea
  B) Oral discomfort
  C) Headaches
  D) Dyspnea

[LegendaryAnswers]

Answer to Question 1

B
Feedback:
A patient taking an ACE inhibitor should be sure to maintain fluid intake, so excessive sweating on the job places him at risk for a drop in fluid volume. Excessive sweating, vomiting, diarrhea, or dehydration need to be monitored and treated if they occur while taking an ACE inhibitor. Six smaller meals rather than three larger ones would be better and should be encouraged. However, this could be a problem with his job. The best treatment for constipation would be to increase fluid and fiber and one beer a night would be within reason when considering alcohol intake.

Answer to Question 2

B
Feedback:
Patients taking anticholinergic drugs will have dry mucous membranes. Oral hygiene will be extremely important during glycopyrrolate therapy to avoid gum disease. The nurse should encourage the patient to suck on sugarless lozenges and perform frequent oral care. Diarrhea, headaches, or dyspnea should not be a concern with this drug.

[Jramos095]

Excellent

[mohan]

TYSM