A nurse is caring for a client that is newly diagnosed with hypertension.Which of the following medications is a beta-adrenergic blocker that has a mechanism of action to decrease heart rate, myocardial contractility, and cardiac output, and is also used to treat hypertension?
Metoprolol.
Nitroglycerin.
Losartan.
Metformin.
The Correct Answer is A
Choice A rationale
Metoprolol is a beta-adrenergic blocker that works by decreasing heart rate, myocardial contractility, and cardiac output. It is commonly used to treat hypertension by reducing the workload on the heart and lowering blood pressure.
Choice B rationale
Nitroglycerin is a vasodilator that is used to treat angina by dilating blood vessels and improving blood flow to the heart. It does not have the same mechanism of action as beta-adrenergic blockers.
Choice C rationale
Losartan is an angiotensin II receptor blocker (ARB) that helps relax blood vessels and lower blood pressure. It does not directly decrease heart rate or myocardial contractility like beta-adrenergic blockers.
Choice D rationale
Metformin is an oral hypoglycemic agent used to manage type 2 diabetes by improving insulin sensitivity and reducing glucose production in the liver. It is not used to treat hypertension and does not have the same mechanism of action as beta-adrenergic blockers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
Choice A rationale
Tamsulosin is used to relax the muscles in the prostate and bladder neck, making it easier to urinate in men with BPH.
Choice B rationale
Sildenafil is primarily used to treat erectile dysfunction and pulmonary hypertension. It is not used to treat BPH.
Choice C rationale
Ethinyl estradiol and drospirenone are components of oral contraceptives and are not used for the treatment of BPH.
Choice D rationale
Finasteride is used to shrink an enlarged prostate by blocking the hormone that causes prostate growth, making it a common treatment for BPH.
Correct Answer is A
Explanation
Choice A rationale
Waiting at least 1 minute in between puffs of the same drug is recommended to allow the medication to be absorbed effectively into the lungs. This helps in achieving the optimal therapeutic effect and ensures that the second puff is not wasted. .
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