After obtaining several elevated blood pressure readings from the automated sphygmomanometer in his local drugstore, a 51-year-old man sought care from his primary care provider
The patient has been diagnosed with hypertension following several elevated blood pressure readings. The nurse at the clinic should recognize which of the following drug regimens as being most likely? A) Monotherapy with a loop diuretic
B) Monotherapy with an ACE inhibitor
C) A beta-blocker combined with a calcium channel blocker
D) A thiazide diuretic combined with a beta-blocker
D
Feedback:
The JNC 7 guidelines suggest thiazide diuretics be used as first-line therapy, either alone (monotherapy) or with a beta-blocker, ACE inhibitor, ARB, or calcium channel blocker. Consequently, the other listed drug regimens are less likely to be implemented.
You might also like to view...
A nurse palpates a small lump in a woman's breast. The most appropriate action by the nurse is to
a. ask the client if any relatives have had breast cancer. b. document its characteristics and the position of the client. c. refer the client for a same-day mammography. d. tell the client to return next month for a repeat examination.
The most common reason for clients with sexually transmitted diseases (STDs) to remain un-treated is:
1. Embarrassment and guilt 2. Inability to access health care services 3. Lack of knowledge concerning signs and symptoms 4. Insufficient respect for the seriousness of the disease
Which factors are most commonly associated with pancreatitis?
a. Coronary artery disease b. Alcoholism and biliary tract disease c. Cirrhosis d. History of myocardial infarction
A ritual differs from a custom in that a ritual is
a. a more everyday behavior. c. a more precisely structured behavior. b. a private versus a public behavior. d. used only to mark family events.