6. A 40-year-old male newly diagnosed with hypertension is discussing risk factors with the nurse. The nurse talks about lifestyle changes with the patient and advises that the patient should avoid tobacco use.
Secondary hypertension has a specific identified cause. A cause could include narrowing of the renal arteries, renal parenchymal disease, hyperaldosteronism, certain medications, pregnancy, and coarctation of the aorta. Secondary hypertension does respond to antihypertensive drug therapy and can cause target organ damage if left untreated.
A 40-year-old male newly diagnosed with hypertension is discussing risk factors with the nurse. The nurse talks about lifestyle changes with the patient and advises that the patient should avoid tobacco use.
A decision rationale describes the reasons for a decision. This may be used to sell a decision to stakeholders or may be used as an artifact to explain the decision to the future. For example, a decision to reject a business plan may explain the risks or shortcomings of the plan.
A design rationale documents the reasons for design decisions. This explains why a design was selected from alternatives and how it achieves design goals. For example, the architect for a public school that creates a rationale based on the project's requirements and constraints.
A research rationale explains the significance and uniqueness of a study. This will often explain other research and how a study fits into the current knowledge of a topic.
A project rationale is a pitch for a project. This may be done for a small project that doesn't have a full business case or as a preliminary artifact to pitch a project to stakeholders. A project rationale typically states a problem, a solution and the benefits of the solution as compared to alternatives.
Rationales are an essential element of a lesson plan that simply explain why a lesson has value to students.
A strategy rational explains why a strategy benefits a firm and why the strategy is better than alternatives. This may be included in a strategic planning document or a strategy pitch.
This is the complete list of articles we have written about communication.
A) Lower the BP to reduce onset of neurologic symptoms, such as headache and vision changes.
The most appropriate expected outcome for a patient who is given the nursing diagnosis of risk for ineffective health maintenance is that he or she takes the medication as prescribed. The other listed goals are valid aspects of care, but none directly relates to the patient's role in his or her treatment regimen.
C) Hypertensive urgency is treated with rest and benzodiazepines to lower BP.
The medications of choice in hypertensive emergencies are those with an immediate effect, such as IV vasodilators. Oral doses of fast-acting agents, such as beta-adrenergic blocking agents, angiotensin-converting enzyme inhibitors, or alpha-agonists, are recommended for the treatment of hypertensive urgencies. 5.
The goal of antihypertensive drug therapy is a BP of 140/90 mm Hg or lower. A pressure of 130/80 mm Hg is the goal for patients with diabetes or chronic kidney disease.
B) Maintaining a diet high in dairy to increase protein necessary to prevent organ damage
A) "Yes. Hypertension is prevalent among men; it is fortunate we caught this during your routine examination."
The hemodynamic parameter that is most associated with extension of the dissection is the rate of rise of the aortic pressure . Nitroprusside decreases the aortic systolic pressure, but actually increases the rate of rise because of reflex tachycardia. Beta-blockers and nitroprusside together decrease the rate of rise.
2012 ACCF/AHA guidelines suggest that patients with negative cardiac biomarkers within 6 hours of the onset of symptoms consistent with acute coronary syndrome should have biomarkers remeasured in the time frame of 8 to 12 hours after symptom onset. Also, an electrocardiogram should be repeated.
The 2 intravenous inotropic agents are occasionally used for severe end-stage systolic heart failure, although they do not have a Class I recommendation for this use.
This patient has hypertrophic cardiomyopathy (HCM), which is the most common cause of sudden death in exercising young people (<35 years of age) in the United States. Anomalous coronary arteries are the next most common cause of sudden death in exercising young people (<35 years of age).
Note that the patient with superior vena cava syndrome would have distended, pulseless neck veins as well as the other features that so often accompany the Pancoast tumor—e.g., Horner syndrome, collar of Stokes, facial suffusion, and a characteristic chest x-ray.
A 64-year-old male had an inferior STEMI and was treated with aspirin, beta-blockers, an angiotensin-converting enzyme inhibitor, and a statin. He was standing at the nurse's station when telemetry showed the following: Wenckebach
Antibiotic prophylaxis is no longer recommended for any other form of congenital heart disease.
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