Consider the scenario below, then follow the instructions underneath it to complete the discussion. If appropriate, support your position with credible resources/examples/evidence and provide APA references.
Mr. B, a 70-year-old male client, presented to his primary care physician with complaints of blurred vision and headaches over the last two months. On several visits, Mr. B’s blood pressure was found to be elevated, so the physician started him on hydrochlorothiazide 25 mg by mouth daily. One month later, Mr. B began to have chest pains and shortness of breath, so his primary care provider referred Mr. B to a cardiologist for further evaluation.
The cardiologist ordered an echocardiogram and stress test which revealed heart enlargement and a reduced ejection fraction (volume of blood pumped out of the heart per minute). As a result, the cardiologist started Mr. B on a beta-blocker (metoprolol 25 mg by mouth daily).
A few days after taking the new medication (in addition to the hydrochlorothiazide ordered by the primary physician), Mr. B suffered a fall at home. Upon arrival at the emergency room, Mr. B’s blood pressure was 80/50. The emergency room physician suspected the cause of Mr. B’s fall was hypotension secondary to the medications he was taking. The ER physician recommended that Mr. B follow up with his primary care physician and cardiologist, but hold the medication until seen by them.
As recommended, Mr. B visits his primary care physician for a follow-up. During the visit, Mr. B’s blood pressure is found to be elevated (160/90), so his physician tells Mr. B to restart taking his blood pressure medication.
Imagine that you are the nurse attending to Mr. B and that he indicates that he’s afraid to restart the medication because of his recent fall.
Review the posts made by your classmates and reply to someone expanding on their idea or offering an alternative for consideration.
KEY TAKEAWAYS BEFORE ATTEMPTING THIS ASSIGNMENT
The nurse should make sure that the patient is not in any danger and that he understands the consequences of refusing to take his medication. The nurse should ensure that the patient understands what is happening with his health condition and what medications he needs to take. This will help him make an informed decision regarding his medication. If the client refuses to follow doctor’s orders, then it may be a sign of depression or other mental illness. In this case, it would be important for the nurse to work with a doctor or psychiatrist in order for him to receive proper treatment for whatever illness he has.
The nurse should also ensure that there are no side effects from any medications prescribed by doctors as this can lead people into refusing their medication which can cause serious health complications such as stroke and heart attack. It is therefore important for nurses to educate their patients on how they can take their medications properly so as not cause themselves harm when taking them according to instructions given by doctors. The nurse should also check if there are any contraindications (prohibited conditions) regarding blood pressure medicines such as diuretics (medicines used in treating high blood pressure),….
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