1600: Client reports increased blood pressure readings while at home, stating, "I take it every day, and over the past week, it has been running about 165/95 mm Hg." The client reports full adherence to his prescribed antihypertensive medication, which includes lisinopril and hydrochlorothiazide. The client notes he has been increasingly anxious about several work projects and 'cannot turn my mind off.' He says he cannot fall asleep and only gets 5-6 hours of sleep per night. He reports that the anxiety and inability to sleep started three weeks ago. He denies any recent illness.
Upon assessment, the client appears tired and is completely oriented. Glasgow Coma Scale 15, Clear lung sounds with non-labored respirations. Active bowel sounds in all quadrants. Skin is warm and moist. Denies any pain.
Oral temperature 101.1° F (38.3° C)
Pulse 88/minute
Respirations 16/minute
Blood pressure 158/96
Pulse oximetry reading 96% on room air
- Discharge home
- Schedule a follow-up appointment in four weeks
- Sertraline 50 mg PO Daily
- Clonidine 0.1 mg PO Daily
- Zolpidem 5 mg PO, PRN insomnia
The nurse reviews the orders and formulates a teaching plan for the newly prescribed medications
➢ For each medication, select the appropriate option for drug classification and client teaching
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