The client is a Native American who has been diagnosed as having ...

[aabwk4]

The client is a Native American who has been diagnosed as having hypertensive disease. In conferring with the primary health provider, the nurse recognizes that which antihypertensive medication would not be effective with this client?
 
  a. Furosemide (Lasix)
  b. Metoprolol (Apo-Metoprolol, Toprol SR)
  c. Minoxidil (Loniten, Rogaine)
  d. Prazosin (Minipress)

Question 2

A client is ordered to receive propranolol (Inderal). The nurse notes that the client has a history of asthma. The nurse calls the ordering physician with the knowledge that propranolol may cause:
 
  a. no change in airway.
  b. bronchial constriction.
  c. bronchial dilation.
  d. bronchial enlargement.

[Jevvish]

Answer to Question 1

ANS: B
Native Americans have a reduced or lower response to beta-blockers, such as metoprolol, when compared with Caucasians.

Answer to Question 2

ANS: B
As a beta-blocker, propranolol (Inderal) may cause airway constriction, exacerbating the asthmatic changes.