Nokea
A nurse is reviewing the medication record of a client who has hypertension. Which of the following medications should the nurse administer to lower the client's blood pressure?
- A. Promethazine
- B. Amlodipine
- C. Fluconazole
- D. Phenazopyridine
Correct Answer: B
Rationale: The correct answer is B: Amlodipine. Amlodipine is a calcium channel blocker commonly used to treat hypertension by relaxing blood vessels, reducing blood pressure. It is a first-line medication for hypertension management. Promethazine (A) is an antihistamine, Fluconazole (C) is an antifungal, and Phenazopyridine (D) is a urinary analgesic, none of which are indicated for hypertension. Selecting Amlodipine aligns with evidence-based practice guidelines for hypertension management.
You may also like to solve these questions
A nurse is administering phenytoin to a client. The nurse should monitor for which of the following adverse effects?
- A. Tinnitus
- B. Bleeding gums
- C. Jaundice
- D. Deep vein thrombosis
Correct Answer: B
Rationale: The correct answer is B: Bleeding gums. Phenytoin is an antiepileptic medication known to cause gingival hyperplasia, leading to bleeding gums. Monitoring for this adverse effect is crucial to prevent further complications. Tinnitus (A) is associated with aspirin overdose. Jaundice (C) is a potential adverse effect of liver-damaging medications. Deep vein thrombosis (D) is not directly related to phenytoin administration.
A nurse in a provider's office is collecting data from a client who continues to have a migraine headache after taking sumatriptan orally 2 hr ago. Which of the following findings is the priority for the nurse to report?
- A. Tingling sensation
- B. Hypertension
- C. Dizziness
- D. Flushing
Correct Answer: B
Rationale: The correct answer is B: Hypertension. This is the priority finding for the nurse to report because sumatriptan, a medication used for migraines, can potentially cause a rare but serious side effect of increased blood pressure. Hypertension can lead to severe complications such as stroke or heart attack. Reporting hypertension promptly allows for timely intervention to prevent harm.
Other choices are less urgent:
A: Tingling sensation is a common side effect of sumatriptan and usually resolves on its own.
C: Dizziness may occur with sumatriptan but is not as concerning as hypertension.
D: Flushing is a common side effect and does not require immediate action like hypertension.
A nurse is caring for a client who has chronic liver disease. Which of the following medications should the nurse recognize as appropriate for this client?
- A. Alprazolam
- B. Rotavirus vaccine
- C. Niacin
- D. Hepatitis A vaccine
Correct Answer: D
Rationale: The correct answer is D: Hepatitis A vaccine. Patients with chronic liver disease are at increased risk for complications from hepatitis A. Administering the hepatitis A vaccine can help prevent further liver damage in this population. Alprazolam (A) is a benzodiazepine used for anxiety disorders, not directly related to liver disease. Rotavirus vaccine (B) is used for preventing rotavirus infection in children, not relevant to chronic liver disease in adults. Niacin (C) is a vitamin used for managing cholesterol levels and has no direct effect on liver disease.
A nurse is reinforcing teaching with a client who has schizophrenia and a new prescription for haloperidol. The nurse should instruct the client to avoid taking which of the following medications?
- A. Diphenhydramine
- B. Docusate sodium
- C. Ibuprofen
- D. Glucosamine
Correct Answer: A
Rationale: The correct answer is A: Diphenhydramine. Haloperidol and diphenhydramine both have sedative effects and can cause additive central nervous system depression when taken together. This can lead to increased drowsiness, confusion, and impaired coordination. Docusate sodium (B), ibuprofen (C), and glucosamine (D) do not have significant interactions with haloperidol. It is important for the client to avoid diphenhydramine to prevent potential adverse effects.
A nurse is collecting data from a client who is taking prednisone and self-administers insulin daily. The nurse should identify that which of the following findings indicates a medication interaction?
- A. Orthostatic hypotension
- B. Hyperglycemia
- C. Paresthesia
- D. Jaundice
Correct Answer: B
Rationale: The correct answer is B: Hyperglycemia. Prednisone can increase blood sugar levels, and insulin is used to lower blood sugar levels. If the client is experiencing hyperglycemia while taking both medications, it indicates a possible medication interaction. Orthostatic hypotension (A) is not typically associated with this medication combination. Paresthesia (C) and jaundice (D) are not commonly related to prednisone and insulin interactions.