The primary care nurse practitioner (NP) sees a patient in the ...

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The primary care nurse practitioner (NP) sees a patient in the clinic who has a blood pressure of 130/85 mm Hg.
 
  The patient's laboratory tests reveal high-density lipoprotein, 35 mg/dL; triglycerides, 120 mg/dL; and fasting plasma glucose, 100 mg/dL. The NP calculates a body mass index of 29 . The patient has a positive family history for cardiovascular disease. The NP should: a. prescribe a thiazide diuretic.
  b. consider treatment with an angiotensin-converting enzyme inhibitor.
  c. reassure the patient that these findings are normal.
  d. counsel the patient about dietary and lifestyle changes.

Question 2

A patient who has an upper respiratory infection reports using over-the-counter cold preparations. The primary care NP should counsel this patient to use caution when taking additional over-the-counter medications such as:
 
  a. antipyretics.
  b. calcium supplements.
  c. acid reflux medications.
  d. antioxidant supplements.

[Sweetkitty24130]

Answer to Question 1

D
The patient's blood pressure indicates prehypertension, but the patient does not have cardiovascular risk factors such as hyperlipidemia or hyperinsulinemia. The body mass index indicates that the patient is overweight but not obese. Pharmacologic treatment is not recommended for prehypertension unless compelling reasons are present. The findings are not normal, so it is appropriate to counsel the patient about diet and exercise.

Answer to Question 2

A
Cold preparations often contain antipyretics such as acetaminophen or aspirin. Patients should be cautioned about taking additional antipyretics to avoid overdose.

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[Sweetkitty24130]

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