A Middle-Aged Patient Has a Follow Up Visit for a Recorded

question 18

Multiple Choice

A middle-aged patient has a follow up visit for a recorded blood pressure of 162/96 mm Hg taken 3 weeks ago.The patient has no significant past medical history and takes no medications,but smokes 1 1/2 packs of cigarettes per day,drinks alcohol regularly,and exercises infrequently.The patient is about 40 lbs.overweight and admits to a high-fat,high-calorie diet.At the office visit today,the patient's blood pressure is 150/92 mm Hg.What is the least appropriate intervention for this patient at this time?

• A) Begin lifestyle modifications.
• B) Begin antihypertensive drug therapy.
• C) Recheck blood pressure in 4 to 6 weeks.
• D) Encourage smoking cessation.

Recognize the importance of continuing education and professional development in nursing.

Identify the standards and competencies required for nursing practice.

Understand the impact of legislation on nursing practice and patient care.

Appreciate the importance of patient advocacy in nursing.

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Definitions:

Statutes

Laws established by a legislative body.

Judicial Decision

A ruling made by a court in response to a legal matter, determining the outcome of a case.

Legal Precedent

A principle or rule established in a previous legal case that is either binding or persuasive for a court when deciding subsequent cases with similar issues or facts.

Legal Decision

A ruling or resolution made by a court or legal authority that resolves a dispute or interprets a law.