A nurse is preparing to administer verapamil to a client who is 2 days post-myocardial infarction. The nurse should monitor the client for which of the following outcomes as a therapeutic response to the medication?

Increased heart rate

Increased blood pressure

Decreased pulmonary congestion

Decreased anginal pain

Answer and Explanation

The Correct Answer is D

A. Verapamil is a calcium channel blocker that typically decreases heart rate rather than increases it. Therefore, an increased heart rate would not be a therapeutic response to this medication.

B. Verapamil works to lower blood pressure by inhibiting calcium influx into the vascular smooth muscle. An increase in blood pressure would not be an expected therapeutic outcome.

C. While verapamil may help with heart function, the primary therapeutic response is not specifically measured by decreased pulmonary congestion. This outcome may not be directly observable in the early treatment phases post-myocardial infarction.

D. Verapamil is effective in reducing anginal pain by decreasing myocardial oxygen demand through lowering heart rate and contractility. Thus, a decrease in anginal pain would be a direct therapeutic response to the medication.

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Correct Answer is B

Explanation

A. Hydrochlorothiazide does not prevent angiotensin II from binding with receptor sites; this action is typically associated with ACE inhibitors or angiotensin receptor blockers.

B. Hydrochlorothiazide decreases the reabsorption of sodium and water in the distal renal tubule, which leads to increased urine output and decreased blood volume, effectively lowering blood pressure.

C. Hydrochlorothiazide does not block beta receptors; this is the mechanism of action for beta-blockers.

D. Hydrochlorothiazide does not promote the movement of extravascular fluids into the vascular compartment; instead, it reduces blood volume by promoting diuresis.

A. Hypertension B. Heart failure C. Male pattern baldness D. Benign prostatic hypertrophy

Correct Answer is ["A","D"]

Explanation

A. Terazosin is indicated for the treatment of hypertension as it works by relaxing blood vessels, leading to lower blood pressure.

B. Terazosin is not indicated for heart failure; other medications are typically used to manage this condition.

C. Male pattern baldness is treated with other medications, such as finasteride, rather than terazosin.

D. Terazosin is also indicated for benign prostatic hypertrophy (BPH), as it helps alleviate urinary symptoms associated with this condition by relaxing the smooth muscles in the prostate and bladder neck.

E. Terazosin is not indicated for erectile dysfunction; it is primarily used for hypertension and BPH.

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A nurse is preparing to administer verapamil to a client who is 2 days post-myocardial infarction. The nurse should monitor the client for which of the following outcomes as a therapeutic response to the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

. A nurse is caring for a client who has a prescription for hydrochlorothiazide for the initial treatment of hypertension. Which of the following should the nurse recognize as the action of this medication?

Correct Answer is B

Explanation

A nurse is caring for a client who has a prescription for terazosin. The nurse should identify that this medication is indicated for which of the following disorders?

Correct Answer is ["A","D"]

Explanation

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