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.
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.
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The statement, "The patient will be able to self-administer an aerosol nebulizer treatment by the date of discharge," is an example of which step of the nursing process?
a. Implementation b. Diagnosis c. Evaluation d. Planning
The nurse is administering care to a client group that includes individuals from four cultures. In trying to give culturally competent care, the nurse understands that the client who probably requires the least personal space is the:
1. Canadian. 2. American. 3. Latin American. 4. Briton.
The order is to titrate a solution of 250 mg in 250 mL at 15-18 mcg/kg/min. The patient weighs 59 kg. Calculate the dosage range in mcg/min and flow rate range in mL/hr
What will be an ideal response?
Decongestants should be used with caution in patients with which diagnoses? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected
1. Hyperthyroidism 2. Diabetes 3. Hypertension 4. Heart disease 5. Allergic rhinitis