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Author Question: Which statement(s) concerning the use of antihypertensive therapy for the treatment of hypertension ... (Read 86 times)

deesands

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Which statement(s) concerning the use of antihypertensive therapy for the treatment of hypertension would be considered true? (Select all that apply.)
 
  a. Diuretics are the most commonly prescribed antihypertensive agent.
  b. Diuretics are not used for older adult patients.
  c. Diuretics are the most expensive of the antihypertensive agents.
  d. Diuretics are often prescribed in combination therapy with other antihypertensive agents.
  e. Loop diuretics are considered potassium sparing.

Question 2

The nurse is preparing to assess blood pressure on a patient who has had two prior readings of 160/100. Physician's notes from a prior visit indicate that the patient is suspected to have hypertension.
 
  When reassessing this patient for hypertension, the nurse will do what? (Select all that apply.)
  a. Instruct patient to sit on the exam table.
  b. Choose a cuff encircling at least 80 of the arm.
  c. Support patient's arm at heart level.
  d. Encourage patient to sit quietly for 5 minutes before assessing blood pressure.
  e. Instruct the patient that one more increased reading is required before hypertension is diagnosed.



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Chocorrol77

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Answer to Question 1

ANS: A, D
Diuretics are the most commonly prescribed antihypertensive used to treat all classes of hypertension. They are one of the classes of agents that has been shown to reduce cardiovascular morbidity and mortality associated with hypertension. Diuretics are prescribed in combination therapy to potentiate hypotensive activity. More potent diuretics are used for older adult patients. Diuretics are low in cost. Diuretics often cause excretion of potassium, with the exception of potassium-sparing diuretics used in combination with thiazide.

Answer to Question 2

ANS: B, C, D
An appropriately sized cuff bladder encircles at least 80 of the arm and is required for accuracy. The arm is supported at heart level. The individual should be seated quietly for at least 5 minutes in a chair with feet on the floor. Sitting on an exam table is not preferred. Feet should be on the floor. An elevated reading on two or more separate occasions after initial screening is considered hypertension.





 

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