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 A
Explanation
Choice A rationale
Lactated Ringers (LR) is an isotonic solution, which means it has the same osmolarity as blood plasma. This property makes LR suitable for rehydrating patients without causing a significant shift of fluids between compartments, maintaining the balance of electrolytes.
Choice B rationale
0.45% Sodium Chloride is a hypotonic solution, meaning it has a lower osmolarity compared to blood plasma. This type of solution would cause fluid to move into cells, potentially leading to cellular swelling.
Choice C rationale
Dextrose in Lactated Ringers is a hypertonic solution because the added dextrose increases the osmolarity. This solution can cause fluid to shift out of cells, leading to cellular shrinkage, which is not ideal for rehydration.
Choice D rationale
None of the above is incorrect because Lactated Ringers (LR) is indeed an isotonic solution.
Correct Answer is A
Explanation
Choice A rationale
Brand name medications are typically more expensive because they include costs for research, development, marketing, and patents. They are sold under a trademarked brand name by a specific company, which allows them to charge higher prices.
Choice B rationale
This is incorrect as brand name medications are not less effective than generic medications. Both are required to have the same active ingredients and efficacy by regulatory agencies.
Choice C rationale
While the active ingredients must be the same, the formulation (inactive ingredients) of brand and generic medications can differ, which may affect the drug's characteristics, such as absorption rate.
Choice D rationale
Brand name drugs are usually less prescribed than generics because generics are cheaper and preferred for cost-saving measures. However, in some cases, a brand name might be more widely recognized and prescribed initially.
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