A nurse is caring for a client with a diagnosis of hypertension.
The client notes that he has had hypertension for 3 years and recently stopped taking an antihypertensive medication that has caused a cough in the past from the healthcare provider's order.
Based on the client's presentation and history, which of the following medications should the nurse anticipate the healthcare provider will prescribe to this client for his hypertension?
Losartan.
Digoxin.
Captopril.
Lisinopril.
The Correct Answer is A
Choice A rationale
Losartan is an angiotensin II receptor blocker (ARB) that helps lower blood pressure by relaxing blood vessels. It is often prescribed for clients who cannot tolerate angiotensin-converting enzyme (ACE) inhibitors like Captopril or Lisinopril due to side effects such as a persistent cough.
Choice B rationale
Digoxin is a medication primarily used to treat heart failure and atrial fibrillation. It is not typically prescribed for the management of hypertension as it does not directly lower blood pressure.
Choice C rationale
Captopril is an ACE inhibitor that can cause a persistent cough in some patients. Since the client has experienced this side effect, it is unlikely that Captopril would be prescribed again.
Choice D rationale
Lisinopril is another ACE inhibitor, similar to Captopril. Given the client's history of a cough caused by ACE inhibitors, Lisinopril is also not a suitable option.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Metoprolol is a beta-blocker used for hypertension and angina, not for controlling blood sugar levels.
Choice B rationale
Glucagon is used to treat severe hypoglycemia by increasing blood glucose levels, not for regular blood sugar control.
Choice C rationale
Metformin is an oral hypoglycemic agent used to lower elevated blood glucose levels in type 2 diabetes.
Choice D rationale
Nitroglycerin is a nitrate used to treat angina by dilating blood vessels, not for blood sugar control.
Correct Answer is B
Explanation
Choice A rationale
This statement is incorrect because an antagonist medication changes the effects of normal cellular functions by blocking receptors.
Choice B rationale
An antagonist medication binds to receptors and blocks the usual receptor activity, preventing the normal action of the endogenous substance.
Choice C rationale
This statement describes an agonist medication, which binds to receptors and increases the effects of normal cellular functions.
Choice D rationale
This statement is incorrect because an antagonist medication does not both increase and decrease the effects on normal cellular functions; it primarily blocks receptor activity.
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