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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Calcium channel blockers are not typically used to manage flushing associated with niacin.
B. NSAIDs can help with flushing symptoms; however, beta blockers are more commonly used for this purpose.
C. Beta blockers, such as propranolol, are effective in preventing flushing associated with niacin therapy by blocking the vasodilatory effects.
D. Fibric acid derivatives are used to lower triglycerides and cholesterol but do not address flushing caused by niacin.
Correct Answer is D
Explanation
A. Increased creatinine clearance is not a common effect of gemfibrozil; rather, it may lead to liver function changes or muscle-related side effects.
B. Gemfibrozil does not typically decrease prothrombin time (PT); this option does not relate to its mechanism of action.
C. Hyperkalemia is not a typical side effect of gemfibrozil; it may be more relevant to other medications, particularly those affecting the kidneys.
D. Gallstones are a known side effect of gemfibrozil, as the drug can increase biliary cholesterol saturation, leading to the formation of stones.
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