Answer to Question 1
B
Evidence-based guidelines suggest that optimal control of hypertension to less than 130/80 mm Hg could prevent 37 of cardiovascular disease in men and 56 in women, so this patient, although showing improvement, could benefit from the addition of another medication. An angiotensin-converting enzyme inhibitor is an appropriate drug for patients who also have diabetes. B-Blockers and aldosterone antagonist medications are not recommended for patients with diabetes.
Answer to Question 2
A
It is important for primary care providers to be familiar with these products and their ingredients so that they can help patients choose the safest product for their ailments. Because there are few evidence-based recommendations for the use of these products, NPs should not prescribe them. Counseling patients to stop using the products would probably not be effective; it is more important to know about the products to assist patients in decision making. Although it is true that the products are not directly regulated by the Food and Drug Administration (FDA), there are agencies that maintain safety of the products.
The patient interview often requires note taking.
Activation of the Primary Gustatory Cortex by Taste Stimuli
An example of a medical history sheet to list patient problems.
Foley catheter with balloon in the bladder of a male patient.
Assisting the patient to transfer from the bed or examining table to a wheelchair.
Take care