A client is newly diagnosed with hypertension and diabetes. Which ...

[wrbasek0]

A client is newly diagnosed with hypertension and diabetes. Which classes of drugs are likely to be prescribed?
 
  Standard Text: Select all that apply.
  1. ACE inhibitors
  2. Beta blockers
  3. Thiazide diuretics
  4. Calcium channel blockers
  5. Angiotensin receptor blockers (ARBs)

Question 2

The nurse is caring for a client recently diagnosed with hypertension. The client asks what medications may be used to treat the condition. The nurse begins by discussing the primary antihypertensive agents, which include which medications?
 
  Standard Text: Select all that apply.
  1. Diuretics
  2. Angiotensin II receptor blockers (ARBs)
  3. Beta-adrenergic antagonists
  4. Direct-acting vasodilators
  5. Peripheral adrenergic antagonists

[Bigfoot1984]

Answer to Question 1

Correct Answer: 1,5
Rationale 1: ACE inhibitors protect the kidneys in clients with diabetes. JNC VI recommends that clients with other compelling factors be given an antihypertensive that also treats the other factors.
Rationale 2: Beta blockers treat hypertension but do not help diabetes and can mask signs of hypoglycemia.
Rationale 3: Thiazide diuretics treat hypertension, but do not help diabetes.
Rationale 4: Calcium channel blockers treat hypertension, but do not help diabetes.
Rationale 5: ARBs protect the kidneys in clients with diabetes. JNC VI recommends that clients with other compelling factors be given an antihypertensive that also treats the other factors.
Global Rationale: ACE inhibitors and ARBs protect the kidneys in clients with diabetes. JNC VI recommends that clients with other compelling factors be given an antihypertensive that also treats the other factors. Beta blockers treat hypertension but do not help diabetes and can mask signs of hypoglycemia. Thiazide diuretics and calcium channel blockers treat hypertension, but do not help diabetes.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: Diuretics are considered a primary antihypertensive agent and should be discussed with this client.
Rationale 2: ARBs are considered a primary antihypertensive agent and should be discussed with this client.
Rationale 3: Beta-adrenergic antagonists are considered a primary antihypertensive agent and should be discussed with this client.
Rationale 4: Direct-acting vasodilators are considered an alternative antihypertensive medication and are prescribed only when first-line agents do not produce a satisfactory response.
Rationale 5: Peripheral adrenergic antagonists are considered an alternative antihypertensive medication and are prescribed only when first-line agents do not produce a satisfactory response.
Global Rationale: Diuretics, ARBs, and beta-adrenergic antagonists are considered primary antihypertensive agents and should be discussed with this client. Direct-acting vasodilators and peripheral adrenergic antagonists are considered an alternative antihypertensive medication and are prescribed only when first-line agents do not produce a satisfactory response.

[wrbasek0]

TYSM

[xiazhe]

Excellent