The nurse is caring for an African American male who has just been diagnosed with hypertension. The nurse anticipates that this patient will be started on which medications?
1. A thiazide diuretic
2. A calcium channel blocker
3. An ACE inhibitor
4. A beta-adrenergic antagonist
5. An angiotensin-II receptor blocker
Correct Answer: 1,2
Rationale 1: Thiazide diuretics seem to provide the greatest blood pressure reduction in this population.
Rationale 2: Calcium channel blockers seem to provide the greatest blood pressure reduction in this population.
Rationale 3: Monotherapy with ACE inhibitors does not reduce blood pressure as effectively in African Americans as in other groups.
Rationale 4: Monotherapy with beta-adrenergic antagonists does not reduce blood pressure as effectively in African Americans as in other groups.
Rationale 5: Monotherapy with angiotensin-II receptor blockers does not reduce blood pressure as effectively in African Americans as in other groups.
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