The nurse is caring for an obese child with hypertension and slightly elevated serum glucose levels. What would the nurse anticipate will be ordered if lifestyle changes do not return blood pressure to an acceptable limit?
A) Lifestyle changes
B) Mild diuretic
C) Calcium channel blocker.
D) Beta-blocker
B
Feedback:
Lifestyle changes should be instituted before drug therapy if at all possible. If drug therapy is used, a mild diuretic may be tried first, with monitoring of blood glucose and electrolyte levels on a regular basis. Calcium channel blockers have been used to treat hypertension in children and may be among the first considerations if drug therapy other than mild diuretics is needed. Beta-blockers have been used with success in some children; adverse effects may limit their usefulness in others. The safety and efficacy of the angiotensin-converting-enzyme (ACE) inhibitors and the angiotensin-receptor blockers (ARBs) have not been established in children.
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The nurse is preparing to discuss discharge planning with a patient who is hemiplegic as a result of a diving accident and with the patient's wife, who will be his primary caregiver
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A nursing instructor observes as a student collects and prepares sterile materials for a procedure. The instructor recognizes that further teaching is necessary when
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