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Author Question: A patient who is newly diagnosed with hypertension is to begin taking two antihypertensive ... (Read 58 times)

imowrer

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on: Jul 24, 2018
A patient who is newly diagnosed with hypertension is to begin taking two antihypertensive medications. The primary care NP gives the patient written drug information and starts to discuss medication side effects.
 
  The patient interrupts and says, I don't want to know all that. Just tell me what to take and when. The NP should: a. explain that medication side effects can have serious consequences.
  b. ask the patient about previous experiences with medication side effects.
  c. give the patient a copy of the medication package insert to read at home.
  d. refer the patient to a website with information about hypertension drug therapy.

Question 2

A patient who has stable angina is taking nitroglycerin and a B-blocker. The patient tells the primary care NP that the cardiologist is considering adding a calcium channel blocker. The NP should anticipate that the cardiologist will prescribe:
 
  a. isradipine (DynaCirc).
  b. nicardipine (Cardene).
  c. verapamil HCl (Calan).
  d. nifedipine (Procardia XL).


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Liddy

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Reply #1 on: Jul 24, 2018
Answer to Question 1

B
Asking the patient about previous experiences with medication side effects can help the NP to understand the patient's motivations to learn and may provide the NP a point of reference to help make the information more relevant to the patient. Giving the patient information when it is not wanted would not be effective.

Answer to Question 2

C
Nitrates and B-blockers are first-line therapy for stable angina. Calcium channel blockers should be reserved for patients who cannot take these agents or patients whose symptoms are not controlled with these agents. Verapamil is one of the calcium channel blockers that should be used. The other calcium channel blockers are not recommended for this purpose.


imowrer

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Reply #2 on: Jul 24, 2018
Both answers were spot on, thank you once again


Liddy

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Reply #3 on: Jul 24, 2018
Great! Please up vote :D


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