Question

When assessing an adult male who presents as the community health clinic with a history of hypertension, the nurse note that he has 2+ pitting edema in both ankles. He also has a history of gastroesophageal reflex disease (GERD) and depression. Which intervention is the most important for the nurse to implement? a.Arrange to transport the client to the hospital.

b.Instruct the client to keep a food journal, including portions size.
c.Review the client's use of over the counter (OTC) medications.
d.Reinforce the importance of keeping the feet elevated.

Answer 1

The most important intervention is to review the client's use of OTC medications.

Step-by-step explanation:

The most important intervention for the nurse to implement when assessing the adult male with hypertension and 2+ pitting edema in both ankles is to review the client's use of over the counter (OTC) medications. This is important because certain medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs), can cause fluid retention and worsen edema. By reviewing the client's OTC medication use, the nurse can identify any medications that may be contributing to the edema and recommend appropriate adjustments or alternatives.