The nurse is caring for a 70-year-old who uses hydrochlorothiazide (HydroDIURIL)and enalapril (Norvasc),but whose self-monitored blood pressure (BP)continues to be elevated.Which patient information may indicate a need for a change?

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Because use of nonsteroidal antiinflammatory drugs (NSAIDs)can prevent adequate BP control,the patient may need to avoid the use of ibuprofen.A multivitamin tablet will help supply vitamin D,which may help lower BP.BP decreases while sleeping,so self-monitoring early in the morning will result in obtaining pressures that are at their lowest.The patient's alcohol intake is not excessive.

The Nurse Is Caring for a 70-Year-Old Who Uses Hydrochlorothiazide