Question

A client is in the cardiovascular clinic for a 3-month follow-up visit. At the first visit, the client was prescribed hydrochlorothiazide and amlodipine for hypertension. Which statement by the client would be concerning to the nurse and should be reported to the primary health care provider (PHCP)?

Answer 1

.A client is in the cardiovascular clinic for a 3-month follow-up visit. At the first visit, the client was prescribed hydrochlorothiazide and amlodipine for hypertension. Which statement by the client would be concerning to the nurse and should be reported to the primary health care provider (PHCP?

Response1. "I like to have a banana every morning with my breakfast."

2. "I occasionally experience slight dizziness when I get up in the morning."

3. "I started taking licorice root for my occasional heartburn."

4. "I usually take my hydrochlorothiazide first thing in the morning".

Answer:

3. "I started taking licorice root for my occasional heartburn."

Explanation:

Consumption of licorice root can leads to increase in high blood pressure as it contains glycyrrhiznic acid, which deactivates protective enzymes in the kidney. It also lower pottasium levels in human, known as hypokalemia.

Therefore, the client who has being diagnosed of hypertension has a lot of risks by taking root of licorice, because of its constituents and effects on blood pressure.

Answer 2

Complete question:A client is in the cardiovascular clinic for a 3-month follow-up visit. At the first visit, the client was prescribed hydrochlorothiazide and amlodipine for hypertension. Which statement by the client would be concerning to the nurse and should be reported to the primary health care provider (PHCP)?

1. " I like to have a banana every morning with my breakfast."

2. "I occasionally experience slight dizziness when I get up in the morning."

3. "I started taking licorice root for my occasional heartburn."

4."I usually take my hydrochlorothiazide first thing in the morning."

Answer: statement 3 ( "I started taking licorice root for my occasional heartburn.")

should be reported to the primary health care provider.

Explanation:

Hypertension( also called high blood pressure) is a medical condition in which the blood pressure is constantly elevated( 130/80 or 140/90 mmHg and above). Hypertension may occur due to:

- life style ( smoking)

-genetic factor

- other disease conditions such as kidney disease and obesity can predispose one to hypertension.

Management of hypertensive patients requires both their cooperation and that of the health care providers. While the health care providers monitors the systolic and diastolic blood pressure of the patients, the patient are advised to make some changes in their lifestyle which should include dietary changes too. The client should avoid dietstgat will lead to increased blood pressure. Licorice root is a herbaceous plant which is believed to treat many diseases in Asia but it's toxic effects can lead to increased blood pressure and even edema. Therefore it should not be taken by a hypertensive patient.