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 ["3"]

Explanation

Convert micrograms to milligrams:
- 750 mcg = 0.75 mg
Calculate the number of pills:
- 0.75 mg / 0.25 mg/tablet = 3 tablets

Therefore, the nurse should administer 3 tablets of digoxin.

A. “I can tell that my blood pressure has been better every day.” B. “I have had no anginal attacks since starting the medication.” C. “I am tolerating exercise without pain on a regular basis.” D. “I have not had as many headaches since starting the medication.”

Correct Answer is C

Explanation

A. Blood pressure improvement is not the primary goal for nitroglycerin patches, which are more focused on managing angina.
B. While the medication is effective in reducing angina, complete elimination of anginal attacks is not always expected.
C. Effective management of angina would be indicated by the client’s ability to tolerate exercise without pain.
D. Headaches are a common side effect of nitroglycerin and do not necessarily indicate the effectiveness of the medication in managing angina.

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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 preparing to administer digoxin (Lanoxin) 750 mcg PO daily. Available: See label below. How many pills should the nurse administer? Do not round your answer. Enter numeric answer only.

Correct Answer is ["3"]

Explanation

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Correct Answer is C

Explanation

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