A nurse is caring for a client who has chronic hypertension. The client's morning vital signs include BP 140/80 mm Hg, heart rate 54/min, and respiratory rate 18/min. Which of the following medications should the nurse plan to withhold?

Hydrochlorothiazide

Lisinopril

Atenolol

Aspirin

Answer and Explanation

The Correct Answer is C

A. Hydrochlorothiazide does not affect heart rate and can be safely given.
B. Lisinopril does not cause bradycardia.
C. Atenolol is a beta-blocker that slows heart rate; withholding is necessary for bradycardia.
D. Aspirin does not influence heart rate and is not contraindicated.

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Correct Answer is D

Explanation

A. Check the client's MAR to see what the client received the day before: This does not address the issue of a potential medication error.
B. Ask the client what medication she took yesterday: The client may not accurately recall medication names or dosages.
C. Ask the client if she has any allergies: While important, this does not resolve the issue of the medication discrepancy.
D. Check the prescription in the client's medical record: This is the most appropriate action to verify the correct medication.

A. Improved peripheral vasodilation B. Reduced bronchial inflammation C. Neutralized gastric acid D. Increased WBC count

Correct Answer is B

Explanation

A. Improved peripheral vasodilation: Montelukast is not used to improve peripheral vasodilation.
B. Reduced bronchial inflammation: Montelukast is a leukotriene receptor antagonist used to reduce inflammation in the airways, helping to prevent asthma attacks and allergic rhinitis.
C. Neutralized gastric acid: Montelukast does not have a role in neutralizing gastric acid.
D. Increased WBC count: Montelukast does not typically affect the white blood cell count.

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A nurse is caring for a client who has chronic hypertension. The client's morning vital signs include BP 140/80 mm Hg, heart rate 54/min, and respiratory rate 18/min. Which of the following medications should the nurse plan to withhold?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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