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 D
Explanation
Choice A rationale
Not giving the medication and notifying the provider can cause unnecessary delays in treatment.
Choice B rationale
Administering the medication without checking the expiration date can result in administering an ineffective or harmful medication.
Choice C rationale
There is no need to notify the provider if the medication is already prescribed and not expired.
Choice D rationale
Checking the medication's expiration date ensures the medication is safe to administer and effective.
Correct Answer is A
Explanation
Choice A rationale
Raloxifene is a selective estrogen receptor modulator (SERM) used to prevent and treat osteoporosis in postmenopausal women by mimicking estrogen's beneficial effects on bone density.
Choice B rationale
Heparin is an anticoagulant used to prevent and treat blood clots, not osteoporosis.
Choice C rationale
Digoxin is a cardiac glycoside used to treat heart failure and arrhythmias, not osteoporosis.
Choice D rationale
Warfarin is an anticoagulant used to prevent blood clots and not indicated for osteoporosis treatment.
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