A patient with a recent onset of nephrosclerosis has been taking an ACE inhibitor and a thiazide diuretic. The patient's initial blood pressure was 148/100 mm Hg. After 1 month of drug therapy, the patient's blood pressure is 130/90 mm Hg
The nurse will contact the provider to discuss: a. adding a calcium channel blocker to this patient's drug regimen.
b. lowering doses of the antihypertensive medications.
c. ordering a high-potassium diet.
d. adding spironolactone to the drug regi-men.
A
In patients with renal disease, the goal of antihypertensive therapy is to lower the blood pressure to 130/80 mm Hg or less. Adding a third medication is often indicated. Lowering the dose of the medications is not indicated because the patient's blood pressure is not in the target range. Add-ing potassium to the diet and using a potassium-sparing diuretic are contraindicated.
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