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
Metoprolol is a beta-blocker used to manage hypertension and other cardiovascular conditions, but it is not a vasodilator used for hypertensive crises.
Choice B rationale
Metformin is an oral hypoglycemic agent used to manage type 2 diabetes and has no role in treating hypertension or hypertensive crises.
Choice C rationale
Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used to manage hypertension and heart failure, but it is not typically used for hypertensive crises.
Choice D rationale
Nitroglycerin is a potent vasodilator used to rapidly lower blood pressure in hypertensive crises. It works by dilating blood vessels, thus reducing blood pressure effectively. .
Correct Answer is A
Explanation
Choice A rationale
Azithromycin can prolong the QT interval, leading to potential cardiac arrhythmias. Patients with a history of prolonged QT interval or other heart conditions should be monitored closely.
Choice B rationale
Constipation is not commonly associated with azithromycin use. Gastrointestinal side effects may include diarrhea or nausea but not constipation.
Choice C rationale
While tachycardia can be a side effect of some medications, azithromycin is more commonly associated with QT prolongation rather than causing increased heart rate directly.
Choice D rationale
Hyperkalemia is not typically a concern with azithromycin. Electrolyte imbalances are not a common side effect of this antibiotic.
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