The nurse is assessing a patient new to the clinic. Records brought to the clinic with the patient show the patient has hypertension and that her current BP readings approximate the readings from when she was first diagnosed
What contributing factor should the nurse first explore in an effort to identify the cause of the client's inadequate BP control?
A) Progressive target organ damage
B) Possibility of medication interactions
C) Lack of adherence to prescribed drug therapy
D) Possible heavy alcohol use or use of recreational drugs
Ans: C
Feedback:
Deviation from the therapeutic program is a significant problem for people with hypertension and other chronic conditions requiring lifetime management. An estimated 50% of patients discontinue their medications within 1 year of beginning to take them. Consequently, this is a more likely problem than substance use, organ damage, or adverse drug interactions.
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