A nurse is caring for a client with hypertension.The client's current vital signs include a blood pressure of 155/95 mmHg and heart rate of 130 bpm in sinus rhythm.
Which of the following medications should the nurse anticipate giving to the client?
Metoprolol.
Enoxaparin.
Heparin.
Simvastatin.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Morphine has a high potential for abuse due to its euphoric effects and the risk of developing physical dependence and addiction with prolonged use.
Choice B rationale
Morphine acts as an agonist on the mu and kappa receptors in the central nervous system, providing analgesic effects by altering the perception of and response to pain.
Choice C rationale
Morphine is a potent analgesic that is more effective than butorphanol, which is a mixed agonist-antagonist with less potency and a ceiling effect on pain relief.
Choice D rationale
Morphine is primarily used for pain management and is not indicated for preventing fevers.
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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