A nurse is caring for a client that is newly diagnosed with hypertension.Which of the following medications is a beta-adrenergic blocker that has a mechanism of action to decrease heart rate, myocardial contractility, and cardiac output, and is also used to treat hypertension?
Metoprolol.
Nitroglycerin.
Losartan.
Metformin.
The Correct Answer is A
Choice A rationale
Metoprolol is a beta-adrenergic blocker that works by decreasing heart rate, myocardial contractility, and cardiac output. It is commonly used to treat hypertension by reducing the workload on the heart and lowering blood pressure.
Choice B rationale
Nitroglycerin is a vasodilator that is used to treat angina by dilating blood vessels and improving blood flow to the heart. It does not have the same mechanism of action as beta-adrenergic blockers.
Choice C rationale
Losartan is an angiotensin II receptor blocker (ARB) that helps relax blood vessels and lower blood pressure. It does not directly decrease heart rate or myocardial contractility like beta-adrenergic blockers.
Choice D rationale
Metformin is an oral hypoglycemic agent used to manage type 2 diabetes by improving insulin sensitivity and reducing glucose production in the liver. It is not used to treat hypertension and does not have the same mechanism of action as beta-adrenergic blockers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Metoprolol is a beta-blocker that is commonly used to manage hypertension and control heart rate. It works by blocking beta-adrenergic receptors, which decreases heart rate and blood pressure.
Choice B rationale
Enoxaparin is an anticoagulant used to prevent and treat deep vein thrombosis and pulmonary embolism, not primarily to manage hypertension.
Choice C rationale
Heparin is an anticoagulant used to prevent and treat blood clots, and it is not indicated for the management of hypertension.
Choice D rationale
Simvastatin is a lipid-lowering medication used to manage high cholesterol levels and is not used to manage hypertension.
Correct Answer is ["A","B"]
Explanation
Choice A rationale
Right insurance approval is not included in the 10 rights of safe medication administration, which focus on ensuring correct medication delivery.
Choice B rationale
Right next of kin is not included in the 10 rights of safe medication administration, which focus on ensuring correct medication delivery.
Choice C rationale
Right frequency is included in the 10 rights of safe medication administration to ensure the medication is given at the correct intervals.
Choice D rationale
Right client education is included in the 10 rights of safe medication administration to ensure the patient understands the medication purpose and side effects. .
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