Directions: Consider The Scenario Below, Then Follow The Instructions Underneath It To Complete The Discussion.

Directions: 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 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
What considerations/actions should the nurse make regarding the client’s refusal to restart his blood pressure medication? What considerations/actions would have helped the healthcare team to prevent the client’s fall? Review the posts made by your classmates and reply to someone expanding on their idea or offering an alternative for consideration