Question 1 Question : A 55-year-old patient with no prior history of
. hypertension has a blood pressure greater than 140/90
on three separate occasions. The patient does not
smoke, has a body mass index of 24, and exercises
regularly. The patient has no known risk factors for
cardiovascular disease. The primary care NP should:
prescribe a thiazide diuretic and an angiotensin-
converting enzyme inhibitor.
perform a careful cardiovascular physical
assessment.
counsel the patient about dietary and lifestyle
changes.
order a urinalysis and creatinine clearance and
begin therapy with a -blocker.
If the patient is younger than 20 or older than 50 years old at
the onset of elevated blood pressure, the NP should look for
causes of secondary hypertension. The physical examination
should include a careful cardiovascular assessment. This
patient will need pharmacologic treatment, but not until the
underlying cause of hypertension is determined.
, NR 508 WEEK 2 QUIZ
Question 2 Question : A patient who takes nitroglycerin for stable angina
. pectoris develops hypertension. The primary care NP
should contact the patient’s cardiologist to discuss
adding:
amlodipine (Norvasc).
diltiazem (Cardizem).
verapamil HCl (Calan).
nifedipine (Procardia XL).
Nifedipine and related drugs are potent vasodilators, which
makes them more effective for hypertension than verapamil and
diltiazem. Amlodipine is not a first-line drug.
Question 3 Question : A patient who has insulin-dependent type 2 diabetes
. reports having difficulty keeping blood glucose
within normal limits and has had multiple episodes
of both hypoglycemia and hyperglycemia. As
adjunct therapy to manage this problem, the primary
care NP should prescribe:
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