The nurse caring for a patient with newly diagnosed mild hypertension. Which medications should the nurse expect to be ordered for this patient?
a. Prazosin (Minipress)
b. Clonidine (Catapres)
c. Reserpine (Serpalan)
d. Hydrochlorothiazide (HydroDIURIL)
ANS: D
For initial drug therapy a thiazide diuretic, ACE inhibitor, ARB, or CCB is recommended. A. B. C. These medications are not recommended for initial drug therapy.
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The nurse counsels the "recreational" user that drugs that make the user feel good have the potential to become progressively addicting until the abuser exhibits:
a. addiction to the drug. b. increased amounts used. c. loss of control over use. d. high level of anxiety.
While a patent is being interviewed by the nurse, a family member states, "What my father really means is that he doesn't know for sure what the physician meant about the medical diagnosis
" Which communication technique did the family member use? a. Focusing b. Clarifying c. Summarizing d. Sharing observations
A client displaying behaviors consistent with acute mania approaches the nurse, waves a newspaper,
and says "I need to make a phone call right this minute. I need to call this department store while their sale is going on. I am going to order 10 dresses and four pairs of shoes.". The most appropriate intervention would be for the nurse to a. tell the client she is not allowed to use the phone until she is in better control. b. suggest the client have someone shop for her and bring purchases to the unit. c. ask whether the client has enough money to pay for the purchases. d. invite the client to go to her room to see a new fashion magazine.
A very concerned 14-year-old boy presents to the clinic because of an enlargement of his left breast
Except for the breast enlargement,the rest of the history and physical was reported as normal. The most appropriate intervention for the nurse to implement next would be to inform the child that 1. a pediatric endocrine consult isbeing arranged. 2. the health practitioner is arranging asurgical consult for their son. 3. this is a normal finding in adolescentmales and that the breast tissue generally regresses by the time of full sexual maturity. 4. his condition is related to a high fatdiet and that limiting fat intake usually will resolve the enlargement over a period of a couple of months.