NSG6420 quiz4 Latest Update - Exam Questions and 100% Verified Correct Answers Guaranteed A+
A hypertensive middle-aged man has been recently diagnosed with mild renal insufficiency. He has been on lisinopril (Accupril) for many years. Which of the following
laboratory values should be carefully monitored ? - CORRECT ANSWER: Serum
creatinine and potassium levels
A patient comes to a clinic for a annual visit. He has a history of Type 2 diabetes. His lab work today indicates creatinine of 1.6 (0.6-1.5). Last year, his BP was 138/80 in both arms. Today, his BP is 150/80 in both arms. Which of the following is the most
appropriate intervention? - CORRECT ANSWER: Counseling him regarding lifestyle
modifications and placing him on an ACE-I
A seventy-eight-year-old African American woman presents to our office as a new patient. She complains of headache and dizziness. Her PMH is significant for HTN. She states, "I have been taking HCTZ for a long time." Her temperature is normal. BP 190/100, HR 86, RR 16. Which of the following would be the most appropriate action to
assist in determining how to treat her current symptoms? - CORRECT ANSWER:
Perform a fundoscopic exam of her eyes
A seventy-eight-year-old woman comes to see you for her annual visit. She has a history of osteoarthritis and GERD. She comes in today for her annual visit. Her BP is 14/88, Last year, her BP was 140/80 and you had advised a 2-gram sodium diet and exercise. She states that she has been faithfully following your instructions. Which of the following would be the most appropriate management strategy for this patient? - CORRECT ANSWER: Advise her that she needs to follow a strict 1.5 gram sodium diet
A sixty-year-old white male adult male client with essential hypertension diagnosed three months ago was initially treated by the nurse practitioner with sodium restriction, weight loss, and exercise. He presents with blood pressure of 160/100 on follow-up. He is asymptomatic and does not take any medication. EKG show evidence of left ventricular hypertrophy (LVH). According to JNC-8, what would be the best choice of
initial therapy? - CORRECT ANSWER: Evaluate for cardiac risk factors and start
therapy with an ACEI or an ARB
Choose the most compelling class of medications for the associated disease state. (
Choose the best answer) - CORRECT ANSWER: all of the above
Mr. Murphy is a forty-eight-year-old male who presents for evaluation of his elevated cholesterol. He is also treated for hypertension with chlorthalidone 25mg once daily. He smokes 1/2 ppd. He denies prior cardiovascular disease or diabetes. His TC is 260, Trig 283, HDL 38, and LDL value is 192mg/dL. His ten-year calculated ASCVD risk is
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