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
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.
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