A patient has three consecutive blood pressure readings of 140/95 mm Hg. The patient's body mass index is 24 . A fasting plasma glucose is 100 mg/dL. Creatinine clearance and cholesterol tests are normal. The primary care NP should order:
a. a b-blocker.
b. an angiotensin-converting enzyme inhibitor.
c. a thiazide diuretic.
d. dietary and lifestyle changes.
C
The patient has stage I hypertension. Because there are no compelling indications for other treatment, a thiazide diuretic should be used initially to treat the hypertension. Dietary and lifestyle changes should also be recommended but are not sufficient for patients with stage I hypertension. Other drugs may be added later if thiazide diuretic therapy fails.
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During the initial assessment of patient with a probable spinal cord injury, the nurse performs a digital rectal examination. What is the best rationale for this examination?
A) Part of routine admission physical B) Checks for fecal impaction C) Assess for sensation or movement D) Preliminary for rectal medications
A client has left to go to the operating room. Important supportive interventions the nurse can provide the family include (Select all that apply)
a. asking them for a way to contact them if they leave the area. b. giving families a way to contact the nurses' station. c. letting the physician meet with them in person instead of the nurse. d. showing them where the family waiting room is.
The nurse is caring for a client with a history of heart failure and chronic gastritis. The client tells the nurse about taking 2 teaspoons of sodium bicarbonate every night before going to bed to prevent heartburn
Which is the nurse's best response? a. "You should let the doctor know right away if you develop diarrhea." b. "I will let your doctor know so a safer antacid can be prescribed for you." c. "Do not take that with milk, because the combination can cause kidney stones." d. "Make sure that you mix the sodium bicarbonate with at least 8 ounces of water."
What is the least effective measure for nurses to use to maintain an internal state of balance and prevent burnout?
a. Use multitasking at work b. Take time to feed their spirits c. Use periodic retreats d. Play basketball