A Hispanic woman comes to the clinic with complaints of ...

[Yolanda]

A Hispanic woman comes to the clinic with complaints of occasional headaches and fatigue. Upon assessment, the patient's vital signs are BP 163/97, P 82/minute, T 97.8 F, R 18/minute.
 
  Her height is 5' 2, and her weight is 165 pounds. She is diagnosed with hypertension. What class of medication would the nurse anticipate the prescriber will order for this patient?
  a. Sympathetic antagonist
  b. Parasympathetic antagonist
  c. Sympathomimetic agent
  d. Sympathetic agonist

Question 2

A nurse is performing a physical assessment on a patient who was admitted with a right torn rotator cuff and is complaining of severe indigestion.
 
  The nurse should anticipate that the prescriber will order what class of medication to manage the indigestion?
  a. Sympathetic blocking agent
  b. Parasympathetic antagonist
  c. Parasympathomimetic agent
  d. Sympathetic antagonist

[emsimon14]

Answer to Question 1

ANS: A
A sympathetic antagonist blocks the actions of the sympathetic nervous system, causing blood pressure to come down in a patient with hypertension.
A parasympathetic antagonist has an opposing effect, which causes the blood pressure to rise; this is contraindicated in a patient with hypertension.
A sympathomimetic agent mimics the effects of sympathetic response, causing an increase in blood pressure; this is contraindicated in a patient with hypertension.
A sympathetic agonist also causes a sympathetic response and increases blood pressure; this is contraindicated in a patient with hypertension.

Answer to Question 2

ANS: B
A parasympathetic antagonist would block the effects of increased gastric acid, thus managing the patient's severe indigestion.
A sympathetic blocking agent would increase gastric acid and therefore would not be the drug class of choice for a patient with severe indigestion.
A parasympathomimetic agent would mimic the effects of the parasympathetic nervous system, thus increasing gastric acid.
A sympathetic antagonist would increase gastric acid by blocking the effects to lower gastric acid.

[Yolanda]

Excellent

[Liddy]

Thanks for the timely response, appreciate it