A 54-year-old African American man has presented for a follow-up appointment shortly after being diagnosed with hypertension and being placed on an angiotensin-converting enzyme (ACE) inhibitor
The nurse takes the patient's vital signs at the beginning of the appointment and obtains a blood pressure of 177/96 mm Hg. What factor should the nurse consider in light of the patient's sustained high blood pressure?
A) The patient's culture may not prioritize taking a medication on a regular basis.
B) Biologic variations may be influencing the effectiveness of the medication.
C) The patient's culture may not acknowledge "symptom-free" problems such as blood pressure.
D) The patient's diet may be negatively affecting the effectiveness of the medication.
Ans: B
Feedback:
Biologic variations can be highly significant, particularly in the use of antihypertensives in African American patients. This is more likely than culturally mediated views on medication adherence, "symptom-free" diseases, or diet.
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