CF is a sixty-year-old African American male who presents as a new patient for initial evaluation and follow-up

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NSG 6005 Week 3  Assignment 1 Discussion

CF is a sixty-year-old African American male

Select one of the two questions from the discussion questions listed below .By Week 3, Day 3, respond to the selected discussion question and submit your response to this Discussion Area .

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Be sure to respond to the question using the lessons and vocabulary found in the reading .Justify your answers using examples and reasoning .Support your answers with examples and research and cite your research using APA format .

Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates’ posts .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion .

Discussion Question 1: CF is a sixty-year-old African American male

CF is a sixty-year-old African American male who presents as a new patient for initial evaluation and follow-up .He has been diagnosed with hypertension for the last twelve years and Type 2 diabetes for the same period of time .His current blood pressure is 162/90, with a pulse of 76 .His body mass index (BMI) is 32 .He is currently taking Maxzide 37 .5/25 mg every morning .This is the only antihypertensive medication he has taken .CF is a sixty-year-old African American male

For this question, focus on the treatment of hypertension .Discuss the influences of his age, gender, and ethnicity on hypertensive medications .On the basis of an analysis of those factors, provide one option for improvement of his blood pressure and provide a clear and specific justification for that choice .Be sure to include dosage and scheduling .Include highlights of patient teaching and/or recommendations for any lifestyle changes .Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication .CF is a sixty-year-old African American male

Discussion Question 2

MT is a fifty-six-year-old obese (BMI 31 .5) Caucasian female with a significant family history of cardiovascular disease .She has uncontrolled hypertension and is currently taking metoprolol 50 mg twice daily .She has dyslipidemia and is taking exetimibe 10 mg daily and garlic .Her current cholesterol is 240 mg/dL, HDL is 41 mg/dL, LDL is 163 mg/dL, and triglycerides are 183 mg/dL .Her blood pressure today is 174/94, and her pulse is 90 .

Review the medications she is taking for hypertension and dyslipidemia .Evaluate the efficacy of these medications .Review them in terms of her age, gender, and ethnicity .Suggest any changes you would recommend, with clear justification for those choices .For medications, include dosages and schedules .Include highlights of patient teaching and/or lifestyle alterations .Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication .

NSG 6005  Week 3 Assignment 2 Quiz

Question 1 .Ray has been diagnosed with hypertension, and an ACE inhibitor is determined to be needed .Prior to prescribing this drug, the nurse practitioner should assess for:

  • Hypokalemia
  • Impotence
  • Decreased renal function
  • Inability to concentrate

Question 2 .A potentially life-threatening adverse response to ACE inhibitors is angioedema .Which of the following statements is true about this adverse response?

  • Swelling of the tongue and hoarseness are the most common symptoms .
  • It appears to be related to a decrease in aldosterone production .
  • The presence of a dry, hacky cough indicates a high risk for this adverse response .
  • Because it takes time to build up a blood level, it occurs after being on the drug for about one week .

Question 3 .Rodrigo has been prescribed procainamide after an episode of MI .He is monitored for dyspnea, jugular venous distention, and peripheral edema because they may indicate:

  • Widening of the area of infarction
  • Onset of congestive heart failure
  • An electrolyte imbalance involving potassium
  • Renal dysfunction

Question 4 .Which of the following is true about procainamide and its dosing schedule?

  • It produces bradycardia and should be used cautiously in patients with cardiac conditions that a slower heart rate might worsen .
  • GI adverse effects are common, so the drug should be taken with food .
  • Adherence can be improved by using a sustained-release formulation that can be given once daily .
  • Doses of this drug should be taken evenly spaced around the clock to keep an even blood level .

Question 5 .Furosemide is added to a treatment regimen for heart failure, which includes digoxin .Monitoring for this combination includes:

  • Hemoglobin
  • Serum potassium
  • Blood urea nitrogen
  • Serum glucose
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