As the nurse is preparing a community education plan regarding high blood pressure, he knows that which of the following may impact the information that is shared?

1. When taking ACE inhibitors, African Americans have a higher incidence of significant side effects, such as angioedema.
2. Undergoing Westernization by American Indians helps them reduce their incidence of high blood pressure.
3. There is no difference in the incidence of hypertension across the United States.
4. Caucasian Americans have a higher incidence of complications from high blood pressure.


When taking ACE inhibitors, African Americans have a higher incidence of significant side effects, such as angioedema.

Rationale: African Americans have up to four times the risk of Caucasians in experiencing angioedema and cough from ACE inhibitors. Westernization by American Indians increases—not lowers—their incidence of high blood pressure. There are regional differences for high blood pressure within the United States. African Americans are more likely to experience complications from high blood pressure.

Nursing

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When providing palliative care to a client receiving hospice care, which of the following would be important? Select all that apply

A) Assume nothing about what is wrong B) Use the most complex interventions first C) Believe what the client is reporting D) Be persistent in trying different strategies E) Wait until the symptoms recur to relieve them

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When discussing multidrug resistant organisms and their transmission, the nurse explains

1. Failure to perform appropriate sterile technique is the leading cause of outbreaks 2. Failure to perform appropriate hand hygiene is considered to be the leading cause of outbreaks 3. Finishing all the prescription medication is considered to be the leading cause of outbreaks 4. The first line of defense is antibiotic therapy 5.

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The nurse is caring for a client with schizoid personality disorder. Which nursing diagnosis is most appropriate for this client with a Cluster A personality disorder?

A) Social isolation related to inadequate social skills, craving of solitude B) Fear related to feelings of abandonment C) High risk for violence, self-directed, related to poor impulse control D) Ineffective individual coping related to high dependency needs

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