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Home Q & A Board Biology-Related Homework Help Medicine
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Manddiiee28 Manddiiee28
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6 years ago
The primary care NP sees a new patient who has diabetes and hypertension and has been taking a thiazide diuretic for 6 months. The patient's blood pressure at the beginning of treatment was 150/95 mm Hg. The blood pressure today is 138/85 mm Hg.
 
  The NP should: a. order a b-blocker.
  b. add an angiotensin-converting enzyme inhibitor.
  c. continue the current drug regimen.
  d. change to an aldosterone antagonist medication.
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#1
6 years ago
B
Evidence-based guidelines suggest that optimal control of hypertension to less than 130/80 mm Hg could prevent 37 of cardiovascular disease in men and 56 in women, so this patient, although showing improvement, could benefit from the addition of another medication. An angiotensin-converting enzyme inhibitor is an appropriate drug for patients who also have diabetes. B-Blockers and aldosterone antagonist medications are not recommended for patients with diabetes.
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