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Question
Mark IIescu is a 44-year-old client who has been diagnosed with primary hypertension. His medical history includes type 1 diabetes meellitus, with early signs of nephropathy. He had a myocardial infarction 2 years ago and has been treated with a beta- blocker, metoprolol, since that time. He has been taking hydrochlorothiazide in addition to the beta-blocker to treat his hypertension. His blood pro today is 138/92 mm Hg, which is consistent with the readings on his last three visits. His physician has added captopril to his treatment regimen.
1. Mark states that he does not understand why he needs additional medication considering his blood pressure is below 140 mm Hg systolic. How should the nurse respond?
2. Discuss the rational for choosing captopril in Mark's case.
3. What should the nurse include when preparing medication teaching to help minimize the adverse effects of the captopril and metoprolol?
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