A nurse is caring for a client with a diagnosis of hypertension.
The client notes that he has had hypertension for 3 years and recently stopped taking an antihypertensive medication that has caused a cough in the past from the healthcare provider's order.
Based on the client's presentation and history, which of the following medications should the nurse anticipate the healthcare provider will prescribe to this client for his hypertension?
Losartan.
Digoxin.
Captopril.
Lisinopril.
The Correct Answer is A
Choice A rationale
Losartan is an angiotensin II receptor blocker (ARB) that helps lower blood pressure by relaxing blood vessels. It is often prescribed for clients who cannot tolerate angiotensin-converting enzyme (ACE) inhibitors like Captopril or Lisinopril due to side effects such as a persistent cough.
Choice B rationale
Digoxin is a medication primarily used to treat heart failure and atrial fibrillation. It is not typically prescribed for the management of hypertension as it does not directly lower blood pressure.
Choice C rationale
Captopril is an ACE inhibitor that can cause a persistent cough in some patients. Since the client has experienced this side effect, it is unlikely that Captopril would be prescribed again.
Choice D rationale
Lisinopril is another ACE inhibitor, similar to Captopril. Given the client's history of a cough caused by ACE inhibitors, Lisinopril is also not a suitable option.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Digoxin is a cardiac glycoside used for heart failure and arrhythmias, not a diuretic.
Choice B rationale
Spironolactone is a potassium-sparing diuretic, preventing hypokalemia.
Choice C rationale
Furosemide is a loop diuretic that can cause hypokalemia by increasing potassium excretion.
Choice D rationale
Captopril is an ACE inhibitor used for hypertension and heart failure, not a diuretic.
Correct Answer is A
Explanation
Choice A rationale
Metastasis is when cancerous cells spread into or invade nearby tissues and can travel to distant places in the body to form new tumors. This process involves the detachment of cancer cells from the primary tumor, their movement through the bloodstream or lymphatic system, and the establishment of new tumors in other parts of the body.
Choice B rationale
Metastasis specifically involves cancerous cells, not normal cells. Normal cells do not spread and invade other tissues in a way that causes new tumor formation.
Choice C rationale
Metastasis refers to the spread of cancerous cells, not normal cells. Normal cells do not exhibit the same invasive and migratory behaviors as cancerous cells.
Choice D rationale
Metastasis involves the spread of cancerous cells, which can lead to the formation of malignant tumors in distant parts of the body. It does not treat tumors but rather contributes to the progression of cancer.
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