Asked by Vibhor Mathur on Apr 27, 2024

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A patient diagnosed with hypertension is taking an angiotensin-converting enzyme (ACE) inhibitor.When planning care,which of the following outcomes would be appropriate for the patient?

A) BP will be lower than 135/85 on all occasions.
B) BP will be normal after 2 to 3 weeks on medication.
C) Patient will not experience dizziness on rising.
D) Urine output will increase to at least 50 mL/hr.

Angiotensin-Converting Enzyme

An enzyme that plays a crucial role in the body's renin-angiotensin system, regulating blood pressure and fluid balance.

Hypertension

A chronic medical condition where the blood pressure in the arteries is persistently elevated, posing risks for heart disease, stroke, and other health problems.

  • Recognize the role and efficacy of medications in managing heart conditions.
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FP
Fallequinox ProductionMay 04, 2024
Final Answer :
A
Explanation :
Goals must be clearly stated so that it is easy to evaluate whether they have been met."BP ...lower than 135/85 ..." is clearly stated and easily evaluated.In contrast,"BP will be normal ..." does not clearly state the desired endpoint.Freedom from dizziness on rising is probably not achievable because ACE inhibitors are vasodilating agents,which may cause vessel dilation and hypotension,especially when the patient arises from a seated or lying position.Patients should be warned of this effect.The expected/desired effect of the ACE inhibitor is to lower the blood pressure; the urine output is minimally relevant in determining that outcome,if at all.