A patient has been brought to the emergency department by ambulance experiencing blood pressure 200/130 mmHg with chest pain. The nurse anticipates which of the following medications for immediate treatment of hypertension (Select all that apply.)

Nitroprusside

Heparin

Labetalol

Nitroglycerin

Digoxin

Answer and Explanation

Correct Answer : A,C,D

A. Nitroprusside is a potent vasodilator used for rapid reduction of severe hypertension.
B. Heparin is an anticoagulant and not primarily used for immediate blood pressure control.
C. Labetalol is a beta-blocker used in hypertensive emergencies to rapidly lower blood pressure.
D. Nitroglycerin, a vasodilator, is also used to manage chest pain and lower blood pressure in hypertensive emergencies.
E. Digoxin is primarily used for heart failure and arrhythmias, not for acute blood pressure control.

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Correct Answer is D

Explanation

A. Clopidogrel is an antiplatelet medication and does not require aPTT monitoring.
B. Warfarin requires monitoring of the INR, not aPTT.
C. Enoxaparin, a low-molecular-weight heparin, generally does not require aPTT monitoring.
D. Heparin therapy requires monitoring of the activated partial thromboplastin time (aPTT) to ensure therapeutic levels and to adjust dosage as necessary.

A. Hypercalcemia B. Hypokalemia C. Hypocalcemia D. Hyponatremia

Correct Answer is B

Explanation

A. Hypercalcemia is not a typical side effect associated with the combination of digoxin and furosemide.
B. Hypokalemia is a significant concern when administering digoxin with furosemide because furosemide is a loop diuretic that can lead to potassium loss. Low potassium levels increase the risk of digoxin toxicity.
C. Hypocalcemia is not a typical concern with these medications.
D. Hyponatremia can occur with furosemide, but it is not the primary concern when monitoring the effects of digoxin.

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A patient has been brought to the emergency department by ambulance experiencing blood pressure 200/130 mmHg with chest pain. The nurse anticipates which of the following medications for immediate treatment of hypertension (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is monitoring the aPTT level for an assigned client. Which of the following medications requires this type of laboratory monitoring?

Correct Answer is D

Explanation

The nurse is preparing to administer the client's daily digoxin with furosemide. The nurse should closely monitor laboratory values for which of the following?

Correct Answer is B

Explanation

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