A client has been diagnosed with hypertension but does not take the antihypertensive medications because of a lack of symptoms.
What response by the nurse is best?
"Do you have trouble affording your medications?"
"Most people with hypertension do not have symptoms.”.
"You are lucky; most people get severe morning headaches.”.
"You need to take your medicine or you will get kidney failure.”.
The Correct Answer is B
Choice A rationale
While medication cost can be a barrier to adherence, it doesn't directly address the client's misconception about the disease itself. Focusing on this aspect may be premature and might not resolve the client's core belief that treatment is unnecessary without symptoms.
Choice B rationale
This statement provides accurate and crucial scientific information. Hypertension is often called the "silent killer" because it typically has no symptoms until it causes significant end-organ damage. Explaining this concept directly addresses the client's flawed reasoning about medication adherence.
Choice C rationale
This response is dismissive and inaccurate. Most people with hypertension do not experience severe morning headaches, and this statement might mislead the client into thinking their lack of symptoms is a sign of good health, thereby reinforcing their decision not to take medication.
Choice D rationale
This response uses scare tactics, which can be counterproductive. While kidney failure is a potential consequence of untreated hypertension, a more educational and less confrontational approach is generally more effective for promoting long-term adherence to a medical regimen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Steak and French fries are high in saturated and trans fats, which raise LDL cholesterol. The dietary management of elevated lipid panels focuses on reducing these fats to decrease cardiovascular risk. Iceberg lettuce offers minimal nutritional value.
Choice B rationale
Baked chicken breast is a lean protein source, and baking avoids adding unhealthy fats. Broccoli and tomatoes are rich in soluble fiber and antioxidants, which can help lower LDL cholesterol and improve overall cardiovascular health. This meal choice is consistent with a heart-healthy diet.
Choice C rationale
Fried catfish is cooked in oil, increasing its saturated fat content. Cornbread often contains high amounts of fat and sugar, contributing to poor lipid profiles. These food choices would not be considered beneficial for managing an elevated lipid panel.
Choice D rationale
Spaghetti with meat sauce often contains high-fat ground meat, contributing to saturated fat intake. Garlic bread is typically prepared with butter or margarine, adding more unhealthy fats. This meal is high in carbohydrates and fats and is not a good choice for managing lipids. .
Correct Answer is C
Explanation
Choice A rationale
There is no known or documented significant drug-food interaction between griseofulvin and citrus fruits or juice. Griseofulvin absorption is actually enhanced by a high-fat meal. The biological mechanism of action for griseofulvin does not involve competition with compounds found in citrus.
Choice B rationale
Shellfish allergies are a common food allergy, but there is no specific interaction between griseofulvin, an antifungal, and shellfish consumption. Griseofulvin's mechanism of action involves disrupting fungal mitosis, which is not affected by dietary intake of shellfish.
Choice C rationale
Alcohol consumption while taking griseofulvin can lead to a disulfiram-like reaction, which is a severe adverse response. This reaction is characterized by flushing, headache, nausea, vomiting, and a rapid heartbeat. The exact mechanism is not fully understood, but it is a significant and dangerous interaction.
Choice D rationale
Griseofulvin is an antifungal medication, while corticosteroids are anti-inflammatory and immunosuppressive agents. There is no known direct pharmacological interaction between these two drug classes. Taking them concurrently is not contraindicated, although they treat different conditions.
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