Question

1. a nurse is conduction a health screening at a local heath fair, which of the following increases the risk for hypertension? SATA

A. use of erectogenic drug

B. sedentary and inactive lifestyle

C. uncontrolled blood glucose

D. increase HDL

E. history of multiple birth

2. a patient is admitted tot he telemetry unit secondary to chronic unstable angina. which of the following medication would the nurse expect to administer ? SATA

A. ACE inhibitor

B. antiplatte theraphy

C. thrombolytic therapy

D. prophylactic therapy

E. intravenous nitroglycerine

Answer 1

1) sedentary and inactive life style, high blood sugar, these increase the risk of hypertension.

Lack of physical activity increase the risk of hypertension. Physical activities and exercises regulates the flow of blood throghout the body. Physical inactivity also leads to obesity, which is an another risk of hypertension.

Diabetic make the arteries harder and loses its elasticity to strech causing high bp. Fluid build up in diabetic patient is another way which cause hypertension.

Mostly erectogenic drugs like sildenafil, tadalafil decreses the blood pressure.

Incresed hdl level shows lower risk of developing heart diseases and hypertension

History of mutiple birth will be a risk only when the patient have pregnancy induce hypertension during their pregnancy time. In such case it might cause secondary hypertension later.

2) nurse administer mainly nitrate drug antiplatelet drug and prophylactic drugs primarly to the patient

Nitroglycerin produce vasodilation and help to relieves chest pain by reducing work load of the heart (both pre and after load). Usualy sulingual route of nitroglycerin is given if pain persist parentral form is used.

Antiplatelet drugs reduce the plaque formation and improve blood flow.

Nitrates itself act as prophylactic therapy

ACE inhibitors and thrombolytic drugs are not a primary treatment for unstable angina.

ACE inhibitors are given in case of high blood pressure to reduce the work load of heart and thrombolytics are used in case of heart attacks.