What does the clinic nurse anticipate as initial drug therapy for a 39-year-old African American man who is 25 pounds overweight and newly diagnosed with hypertension?
A) An angiotensin-converting enzyme (ACE) inhibitor
B) A beta-blocker
C) A calcium channel blocker
D) A diuretic
D
Feedback:
African Americans are at highest risk for developing hypertension with men more likely than women to develop the disease. African Americans have documented differences in response to antihypertensive therapy. They are most responsive to single-drug therapy and diuretics. The first line use of a diuretic is in combination with diet and other lifestyle changes. The use of a calcium channel blocker and/or alpha-adrenergic blocker should follow. African Americans are less responsive to ACE inhibitors and beta-blocker.
You might also like to view...
While performing an initial assessment of a patient admitted with appendicitis, the nurse observes an elevated blue-black lesion on the patient's ear. The nurse knows that this lesion is consistent with what type of skin cancer?
A) Basal cell carcinoma B) Squamous cell carcinoma C) Dermatofibroma D) Malignant melanoma
The nurse would explain to a client that an exercise ECG is useful as one means of detecting
a. cardiac dysrhythmias. b. coronary artery disease. c. heart failure. d. valvular disorders.
Karen has now recovered and is ready for discharge from the hospital with her baby. Karen identifies the supports that she will have at home as her mother-in-law and her partner
She describes having some "sad feelings" after her last baby and wonders what she should watch for this time. The perinatal nurse provides information including the need for extra rest and stresses that after: A) Two weeks of continuous sad feelings she should seek help B) Three weeks of continuous sad feelings she should seek help C) One month of continuous sad feelings she should seek help D) Six weeks of continuous sad feelings she should seek help
A nurse is assisting in the preprocedure care of a patient scheduled for ECT (electroconvulsive therapy). Which nursing action must be taken immediately before the procedure?
a. The electrode sites are shaved and cleaned with a soap and water. b. A blood pressure cuff and the oxygen saturation probe are applied. c. A 12-lead electrocardiogram (ECG) is run and the strip placed in the chart. d. The patient signs an informed consent form allowing for the treatment.