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 ["B","C"]
Explanation
Choice A rationale
Furosemide is a loop diuretic that inhibits the sodium-potassium-chloride co-transporter in the thick ascending limb of the loop of Henle. This results in significant loss of potassium in the urine.
Choice B rationale
NaoxGhe is not a recognized diuretic or medication and should not be included in any in-service discussion.
Choice C rationale
Spironolactone is a potassium-sparing diuretic that works by antagonizing the effects of aldosterone in the distal tubules, reducing potassium excretion.
Choice D rationale
"None of the above" is not a medication but rather a non-relevant option in this context.
Correct Answer is A
Explanation
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.
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