The nurse is caring for a client with a new diagnosis of hypertension and no other conditions. Which medication prescription should the nurse anticipate as the first treatment option?
1. A calcium channel blocker
2. A thiazide-type diuretic
3. An ACE inhibitor
4. A beta blocker
Correct Answer: 2
Rationale 1: Calcium channel blockers are not normally recommended as first-line drugs for hypertension alone.
Rationale 2: JNC VI recommends a thiazide-type diuretic as the first drug of choice for clients without other underlying conditions.
Rationale 3: ACE inhibitors are recommended first-line drugs for clients with diabetes.
Rationale 4: Beta blockers are recommended first-line drugs for clients with hypertension and heart disease.
Global Rationale: JNC VI recommends a thiazide-type diuretic as the first drug of choice for clients without other underlying conditions. Calcium channel blockers are not normally recommended as first-line drugs for hypertension alone. ACE inhibitors are recommended first-line drugs for clients with diabetes. Beta blockers are recommended first-line drugs for clients with hypertension and heart disease.
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