Podcast
Questions and Answers
What should the nurse include in this patient's teaching plan to promote compliance?
What should the nurse include in this patient's teaching plan to promote compliance?
- Provide names of support groups.
- Refer the patient for financial assistance. (correct)
- Encourage increased rest periods.
- Schedule an annual physical examination.
Which additional medication should the nurse question for a patient taking digoxin (Lanoxin)?
Which additional medication should the nurse question for a patient taking digoxin (Lanoxin)?
- Carvedilol (Coreg)
- Verapamil (Calan SR) (correct)
- Clonidine (Catapres)
- Ramipril (Altace)
Which patient should the nurse see first?
Which patient should the nurse see first?
- A patient with a blood pressure of 140/70 mm Hg who is asymptomatic
- A patient with a blood pressure of 150/60 mm Hg who is anxious
- A patient with a blood pressure of 180/120 mm Hg reporting a nosebleed (correct)
- A patient with a blood pressure of 170/80 mm Hg with a headache
Which recommended follow-up time frame should the nurse suggest to a patient for a blood pressure reading of 118/72 mm Hg?
Which recommended follow-up time frame should the nurse suggest to a patient for a blood pressure reading of 118/72 mm Hg?
Which statement by the nurse is most appropriate for a patient experiencing impotence since beginning treatment for hypertension?
Which statement by the nurse is most appropriate for a patient experiencing impotence since beginning treatment for hypertension?
Which ethnic group should the nurse understand is most sensitive to the effects of the beta blocker propranolol (Inderal)?
Which ethnic group should the nurse understand is most sensitive to the effects of the beta blocker propranolol (Inderal)?
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Study Notes
Antihypertensive Medication Compliance
- For patients lacking insurance and reporting good health, refer them for financial assistance to ensure medication affordability.
- Other suggestions, like rest periods or support groups, do not improve compliance with medication regimens.
Digoxin and Medication Interactions
- Digoxin levels can be increased by calcium channel blockers such as Verapamil, which should be questioned when prescribed together.
- Ramipril, Carvedilol, and Clonidine are safe to administer with digoxin.
Patient Prioritization in Hypertension
- A patient with a reading of 180/120 mm Hg and a nosebleed indicates a hypertensive emergency and should be prioritized for immediate care.
- Asymptomatic patients with lower blood pressure readings can be seen later.
Follow-Up Recommendations for Blood Pressure
- A blood pressure reading of 118/72 mm Hg is considered normal, warranting a follow-up in 2 years.
Addressing Impotence Due to Hypertension Treatment
- Advising referral for sexual counseling is the best approach for managing reported impotence related to antihypertensive medication.
- Stopping medication abruptly or self-medication with sildenafil should not be immediately suggested.
Ethnic Sensitivity to Antihypertensive Medications
- African Americans are generally more responsive to diuretics rather than beta blockers like propranolol.
- Chinese individuals have different metabolic responses to propranolol and require careful monitoring for side effects and therapeutic effectiveness.
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