An adolescent being seen by the nurse practitioner for a sports physical is identified as having hypertension. On further testing, it is discovered the child has a cardiac abnormality. The initial treatment of secondary hypertension initially involves:
a. Weight control and diet.
b. Treating the underlying disease.
c. Administration of digoxin.
d. Administration of ?-adrenergic receptor blockers.
ANS: B
Identification of the underlying disease should be the first step in treating secondary hypertension. Weight control and diet are nonpharmacologic treatments for primary hypertension. Digoxin is indicated in the treatment of congestive heart failure. ?-Adrenergic receptor blockers are indicated in the treatment of primary hypertension.
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