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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Glucagon (GlucaGen) is not used for hyperglycemia. Hyperglycemia requires insulin or oral hypoglycemic agents to lower blood glucose levels.
Choice B rationale
Glucagon (GlucaGen) is used to treat hypoglycemia, especially in emergency situations when a person is unconscious or unable to consume oral glucose. It raises blood glucose levels by stimulating the liver to release stored glucose into the bloodstream.
Choice C rationale
Glucagon (GlucaGen) is not used for the treatment of type 2 diabetes mellitus. Management of type 2 diabetes typically includes lifestyle changes, oral hypoglycemic agents, and sometimes insulin therapy.
Choice D rationale
Glucagon (GlucaGen) is not used for diabetes insipidus. Diabetes insipidus is treated with medications such as desmopressin, which helps reduce urine output. .
Correct Answer is C
Explanation
Choice A rationale
Antagonistic reactions occur when one drug interferes with the action of another, decreasing its effectiveness. This is not applicable in this case as aspirin and alcohol together increase the risk of bleeding rather than opposing each other's actions.
Choice B rationale
Synergistic reactions happen when two drugs enhance each other's effects. Aspirin and alcohol together can indeed increase the risk of gastrointestinal bleeding, but this is not referred to as a synergistic reaction.
Choice C rationale
Additive reactions occur when two drugs with similar effects add up to a greater effect. Aspirin and alcohol both increase the risk of bleeding, and their combined effect leads to gastrointestinal bleeding.
Choice D rationale
Neutral reactions imply that the drugs do not interact and have no combined effect, which is incorrect here as the combination of aspirin and alcohol leads to an increased risk of GI bleeding.
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