A nurse is caring for a client with hypertension.Which of the following medications is a vasodilator and is indicated for a hypertensive crisis?
Metoprolol.
Metformin.
Lisinopril.
Nitroglycerin.
The Correct Answer is D
Choice A rationale
Metoprolol is a beta-blocker used to manage hypertension and other cardiovascular conditions, but it is not a vasodilator used for hypertensive crises.
Choice B rationale
Metformin is an oral hypoglycemic agent used to manage type 2 diabetes and has no role in treating hypertension or hypertensive crises.
Choice C rationale
Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used to manage hypertension and heart failure, but it is not typically used for hypertensive crises.
Choice D rationale
Nitroglycerin is a potent vasodilator used to rapidly lower blood pressure in hypertensive crises. It works by dilating blood vessels, thus reducing blood pressure effectively. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
Choice A rationale
Right insurance approval is not included in the 10 rights of safe medication administration, which focus on ensuring correct medication delivery.
Choice B rationale
Right next of kin is not included in the 10 rights of safe medication administration, which focus on ensuring correct medication delivery.
Choice C rationale
Right frequency is included in the 10 rights of safe medication administration to ensure the medication is given at the correct intervals.
Choice D rationale
Right client education is included in the 10 rights of safe medication administration to ensure the patient understands the medication purpose and side effects. .
Correct Answer is D
Explanation
Choice A rationale
Intravenous, intramuscular, and intradermal routes bypass the first-pass effect as they do not pass through the liver first.
Choice B rationale
Enteric-coated tablets and capsules are designed to bypass the stomach and dissolve in the intestines, reducing the first-pass effect.
Choice C rationale
The first-pass effect involves the liver metabolizing and inactivating a portion of the medication on its first pass through the liver.
Choice D rationale
Enteral medications, which pass through the digestive system, may require higher doses due to the first-pass effect where the liver metabolizes the medication before it reaches systemic circulation. .
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