Reference no: EM133342016

Case Study: SIMULATION LAB/HTN
Mr. Bell, 75 years old, is seen in his physician's office. He lives a sedentary lifestyle alone in his own home with a bathroom down the hall from the bedroom. Mr. Bell's son lives in the same city and visits her often. He has wood floors with throw rugs in the hall and a tile floor in the bathroom. He wears glasses and has a cataract. He has an unsteady gait and nocturia. He is 40 pounds overweight and has a
10-year history of hypertension for which she is taking hydrochlorothiazide (HydroDIURIL) and lisinopril (Zestril), when he remembers to take them. He smokes 1 pack/day.
Medical History: Obesity, HT, AAA, BPH, Anxiety, chronic back pain, Smoker
VS: T 98.2 0, HR 87, BP 176/75, RR 20, 02 94 RA
Meds
Doxazosin 2 mg PO HS
Furosemide 20 mg PO BID
HCTZ 12.5 mg PO QD
Lisinopril 5 mg PO QD
Potassium 20 mEg PO QD
PRN
Clonidine 0.1 mg PO Q8 PRN for SBP > 180
Oxycodone 5 mg PO Q6H PRN for severe pain
Xanax 0.5 mg PO Q8H PRN for agitation
Zofran 4 mg PO Q4H PRN for N/V
Acetaminophen 500 mg PO Q8 PRN

Questions:

What are Mr. Bell's modifiable and nonmodifiable risk factors for hypertension?
What are the actions of hydrochlorothiazide and lisinopril?
What teaching methods could be used to help ensure that Mr. Bell will understand and follow her treatment plan?
Why should patient safety needs be addressed in the nursing care plan?
What patient-centered safety interventions should the patient and family be taught?