The primary care NP sees a new patient who has diabetes and hypertension and has been taking a thiazide diuretic for 6 months. The patient's blood pressure at the beginning of treatment was 150/95 mm Hg. The blood pressure today is 138/85 mm Hg
The NP should: a. order a b-blocker.
b. add an angiotensin-converting enzyme inhibitor.
c. continue the current drug regimen.
d. change to an aldosterone antagonist medication.
B
Evidence-based guidelines suggest that optimal control of hypertension to less than 130/80 mm Hg could prevent 37% of cardiovascular disease in men and 56% in women, so this patient, although showing improvement, could benefit from the addition of another medication. An angiotensin-converting enzyme inhibitor is an appropriate drug for patients who also have diabetes. B-Blockers and aldosterone antagonist medications are not recommended for patients with diabetes.
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A patient receiving blood after an abdominal surgery notified the nurse that the IV pump was alarming. The nurse checked the pump and determined that the tubing was kinked. The tubing was straightened out and the nurse left the room
Five minutes later the IV pump again alarmed. The nurse returned to find the tubing was again kinked. On further investigation, the nurse dis-covered that the IV tubing had become twisted. This is an example of which behavior on the part of the nurse? a. Effective problem solving b. Diagnostic reasoning c. Scientific method d. Commitment level of critical thinking
A patient is unable to prevent the spread fingers on his left hand from moving together when the nurse applies resistance. This condition may indicate injury to his
a. radial nerve. c. median nerve. b. ulnar nerve. d. thenar eminence.
Following the intravenous administration of immune globulin to a child, the pediatric nurse provides information to the family that any immunization must be postponed for what length of time?
A) 1 month B) 1 week C) 3 months D) 6 months
According to the Bureau of Labor Statistics (2009), which statement is true regarding the salaries for registered nurses?
a. the lowest 10% earned less than $39,000 b. the average salary for all categories of registered nurses was $66,530 c. the top 10% earned over $150,000 d. the average salary for all categories of registered nurses was $55,830