A patient has been brought to the emergency department by ambulance experiencing blood pressure 200/130 mmHg with chest pain. The nurse anticipates which of the following medications for immediate treatment of hypertension (Select all that apply.)

Nitroprusside

Heparin

Labetalol

Nitroglycerin

Digoxin

Answer and Explanation

Correct Answer : A,C,D

A. Nitroprusside is a potent vasodilator used for rapid reduction of severe hypertension.
B. Heparin is an anticoagulant and not primarily used for immediate blood pressure control.
C. Labetalol is a beta-blocker used in hypertensive emergencies to rapidly lower blood pressure.
D. Nitroglycerin, a vasodilator, is also used to manage chest pain and lower blood pressure in hypertensive emergencies.
E. Digoxin is primarily used for heart failure and arrhythmias, not for acute blood pressure control.

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Correct Answer is B

Explanation

A. Renal function tests are important for overall health but are not the priority in this scenario.
B. Propranolol can mask the symptoms of hypoglycemia, which is a common complication in clients with type 1 diabetes. The nurse should first check the client's blood glucose level to assess for hypoglycemia.
C. While blood pressure is important, the symptoms described are more indicative of hypoglycemia.
D. Serum electrolyte levels might be relevant but are not the immediate concern with the described symptoms.

A. Angina B. Tachycardia C. Asthma D. Gout

Correct Answer is C

Explanation

A. Propranolol can be used to manage angina, as it decreases heart rate and myocardial oxygen demand.
B. Propranolol is often used to treat tachycardia by slowing the heart rate.
C. Beta blockers like propranolol can cause bronchoconstriction, making them contraindicated in patients with asthma due to the risk of exacerbating respiratory issues.
D. Gout is not a contraindication for propranolol use.

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A patient has been brought to the emergency department by ambulance experiencing blood pressure 200/130 mmHg with chest pain. The nurse anticipates which of the following medications for immediate treatment of hypertension (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with type 1 diabetes is taking propranolol [Inderal], acting confused, and reports weakness and feeling shaky. What must the nurse check first?

Correct Answer is B

Explanation

The nurse is screening a client with a new prescription for beta blocker adrenergic propranolol [Inderal LA]. The nurse recognizes that this medication is contraindicated in the presence of which of the following conditions?

Correct Answer is C

Explanation

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