A client with hypertension is also diagnosed with type 2 diabetes mellitus. The client asks why the health care provider has prescribed an ACE inhibitor. Which response by the nurse is the most appropriate?
1. "It protects the kidneys."
2. "It protects the eyes."
3. "It protects the heart."
4. "It protects the nerves."
Correct Answer: 1
Rationale 1: ACE inhibitors protect the kidneys in clients with diabetes. By treating the client with an ACE inhibitor, the health care provider is dealing with the hypertension and diabetes at the same time.
Rationale 2: Any antihypertensive will protect the eyes from hypertension.
Rationale 3: ACE inhibitors can protect the heart from hypertension, but so can other drug classes.
Rationale 4: Nerves are typically damaged by hypertension, and ACE inhibitors do not protect the nerves.
Global Rationale: ACE inhibitors protect the kidneys in clients with diabetes. By treating the client with an ACE inhibitor, the health care provider is dealing with the hypertension and diabetes at the same time. Any antihypertensive will protect the eyes from hypertension. ACE inhibitors can protect the heart from hypertension, but so can other drug classes. Nerves are typically damaged by hypertension, and ACE inhibitors do not protect the nerves.
You might also like to view...
While suctioning an intubated and ventilated patient, the nurse notes that the ventilator alarm is malfunctioning. The proper action would be to
A) reset the ventilator alarm and monitor it closely for the next few hours. B) notify the physician of the problem. C) replace the ventilator with another for the patient and report the occurrence to the designated hospital department. D) report the occurrence to the FDA.
What is the MOST common initial infection occurring in women who are human immunodeficiency virus (HIV) positive?
a. candidiasis c. Epstein-Barr virus b. cryptosporidium d. hairy leukoplakia
Why are broad sampling criteria preferable for descriptive nursing studies? (Select all that apply.)
a. The accessible population is often limited in size. b. They include the sample that is the most representative of the population at that site. c. Broad sampling criteria are preferable for studies conducted in natural settings. d. Broad sampling criteria eliminate more extraneous variables than do narrow sampling criteria. e. Generalization is improved with broad sampling criteria.
A pregnant client with premature rupture of membranes is at higher risk for postpartum infection. Which assessment data indicate a potential infection?
a. Fetal heart rate, 150 beats/min b. Maternal temperature, 99° F c. Cloudy amniotic fluid, with strong odor d. Lowered maternal pulse and decreased respiratory rates