Author Question: A client is treated in the emergency department for hypertensive emergency. The nurse anticipates ... (Read 26 times)

kaid0807 · **on:** Jul 23, 2018

A client is treated in the emergency department for hypertensive emergency. The nurse anticipates treatment with which drug?

1. Metoprolol
2. Lisinopril
3. Clonidine
4. Nitroprusside

Question 2

A client with hypertension is also diagnosed with type 2 diabetes mellitus. The client asks why the health care provider has prescribed an ACE inhibitor. Which response by the nurse is the most appropriate?

1. It protects the kidneys.
2. It protects the eyes.
3. It protects the heart.
4. It protects the nerves.

sabina576 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Metoprolol is not used for hypertensive emergencies.
Rationale 2: Lisinopril is not used for hypertensive emergencies.
Rationale 3: Clonidine is not used for hypertensive emergencies.
Rationale 4: Nitroprusside is a direct vasodilator, and is typically used to lower blood pressure immediately during hypertensive emergencies.
Global Rationale: Nitroprusside is a direct vasodilator, and is typically used to lower blood pressure immediately during hypertensive emergencies. Metoprolol, lisinopril, and clonodine are not used for hypertensive emergencies.

Answer to Question 2

Correct Answer: 1
Rationale 1: ACE inhibitors protect the kidneys in clients with diabetes. By treating the client with an ACE inhibitor, the health care provider is dealing with the hypertension and diabetes at the same time.
Rationale 2: Any antihypertensive will protect the eyes from hypertension.
Rationale 3: ACE inhibitors can protect the heart from hypertension, but so can other drug classes.
Rationale 4: Nerves are typically damaged by hypertension, and ACE inhibitors do not protect the nerves.
Global Rationale: ACE inhibitors protect the kidneys in clients with diabetes. By treating the client with an ACE inhibitor, the health care provider is dealing with the hypertension and diabetes at the same time. Any antihypertensive will protect the eyes from hypertension. ACE inhibitors can protect the heart from hypertension, but so can other drug classes. Nerves are typically damaged by hypertension, and ACE inhibitors do not protect the nerves.