Author Question: The primary care NP is seeing a patient for a hospital follow-up after the patient has had a first ... (Read 20 times)

fnuegbu · **on:** Jul 24, 2018

The primary care NP is seeing a patient for a hospital follow-up after the patient has had a first myocardial infarction. The patient has a list of the prescribed medications and tells the NP that no one explained anything about them.

The NP's initial response should be to: a. ask the patient to describe the medication regimen.
b. ask the patient to make a list of questions about the medications.
c. determine what the patient understands about coronary artery disease.
d. give the patient information about drug effects and any adverse reactions.

Question 2

A patient who has angina is taking nitroglycerin and long-acting nifedipine. The primary care NP notes a persistent blood pressure of 90/60 mm Hg at several follow-up visits. The patient reports lightheadedness associated with standing up.

The NP should consult with the patient's cardiologist about changing the medication to: a. amlodipine (Norvasc).
b. isradipine (DynaCirc).
c. verapamil HCl (Calan).
d. short-acting nifedipine (Procardia).

srodz · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

C
When a patient is first diagnosed with a medical problem, education must start with explaining the pathophysiology in terms the patient will understand. When patients understand what has happened to them, they can move on to consider what to do about it. The other responses are part of an education plan but are not the initial response.

Answer to Question 2

C
Verapamil and diltiazem are less likely to cause hypotension than nifedipine and related drugs, such as isradipine and amlodipine.