A nurse is caring for a client with hypertension.The client's current vital signs include a blood pressure of 155/95 mmHg and heart rate of 130 bpm in sinus rhythm.
Which of the following medications should the nurse anticipate giving to the client?
Metoprolol.
Enoxaparin.
Heparin.
Simvastatin.
The Correct Answer is A
Choice A rationale
Metoprolol is a beta-blocker that is commonly used to manage hypertension and control heart rate. It works by blocking beta-adrenergic receptors, which decreases heart rate and blood pressure.
Choice B rationale
Enoxaparin is an anticoagulant used to prevent and treat deep vein thrombosis and pulmonary embolism, not primarily to manage hypertension.
Choice C rationale
Heparin is an anticoagulant used to prevent and treat blood clots, and it is not indicated for the management of hypertension.
Choice D rationale
Simvastatin is a lipid-lowering medication used to manage high cholesterol levels and is not used to manage hypertension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Intravenous, intramuscular, and intradermal routes bypass the first-pass effect as they do not pass through the liver first.
Choice B rationale
Enteric-coated tablets and capsules are designed to bypass the stomach and dissolve in the intestines, reducing the first-pass effect.
Choice C rationale
The first-pass effect involves the liver metabolizing and inactivating a portion of the medication on its first pass through the liver.
Choice D rationale
Enteral medications, which pass through the digestive system, may require higher doses due to the first-pass effect where the liver metabolizes the medication before it reaches systemic circulation. .
Correct Answer is D
Explanation
Choice A rationale
Decongestants relieve nasal congestion by reducing swelling of the nasal passages.
Choice B rationale
Mucolytics thin and loosen mucus in the airways, making it easier to cough up.
Choice C rationale
Antitussives suppress coughing.
Choice D rationale
Expectorants, like guaifenesin, help thin and loosen mucus, making it easier to clear from the airways.
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