A patient's blood pressure continues to be elevated despite being prescribed an ACE inhibitor for several weeks. What should the nurse do at this time?
1. Ask if the patient is taking the prescribed medication.
2. Suggest to the physician that another medication be added.
3. Schedule the patient to have the blood pressure checked again in a week.
4. Realize the patient is anxious because of the diagnosis.
Correct Answer: 1
Noncompliance, or failure to follow the identified treatment plan, is a continuing risk for any patient with a chronic disease. Prescribed medications may have undesirable effects, whereas hypertension itself often has no symptoms or noticeable effects. The nurse should inquire about reasons for noncompliance with the recommended treatment plan by assessing for factors that can contribute to noncompliance, such as adverse drug effects. If it is determined that the patient is not taking the prescribed medication, the other interventions would not be indicated at this time.
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