The nurse is caring for a client newly diagnosed with hypertension and requires medication therapy. Which of the following medications below is considered a first line treatment for hypertension?
doxazosin
carvedilol
lisinopril
Clonidine
The Correct Answer is C
A. Doxazosin is an alpha-1 blocker that can be used for hypertension but is not a first-line option.
B. Carvedilol is a beta-blocker used in heart failure and post-MI but is not the first choice for initial hypertension treatment.
C. Lisinopril, an ACE inhibitor, is widely recognized as a first-line treatment for hypertension due to its effectiveness and favorable side effect profile.
D. Clonidine is generally not considered a first-line treatment for hypertension due to potential side effects and the availability of more effective alternatives.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While the administration schedule is partly correct, the maximum number of doses should not exceed 3 in 15 minutes without contacting emergency services.
B. Nitroglycerin is not a first-line treatment for hypertension; it is primarily used for angina relief.
C. Nitroglycerin does not dissolve clots; it works by relaxing and dilating blood vessels to improve blood flow and reduce chest pain.
D. This statement accurately describes the action of nitroglycerin, emphasizing its role in dilating blood vessels and improving oxygen delivery to the heart muscle.
Correct Answer is C
Explanation
A. Atenolol is a beta-blocker used for various cardiac conditions but is not typically the first-line treatment for acute ventricular dysrhythmias.
B. Lisinopril is an ACE inhibitor, which is not indicated for immediate management of ventricular dysrhythmias.
C. Procainamide is an antiarrhythmic medication specifically used to treat ventricular dysrhythmias and would be appropriate in this scenario.
D. Adenosine is typically used for rapid atrial dysrhythmias, not specifically for ventricular dysrhythmias, making procainamide the better choice.
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