The nurse is caring for an African American male recently diagnosed with hypertension. The nurse anticipates that this client will be started on which medications?
Standard Text: Select all that apply.
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.
Global Rationale: Thiazide diuretics and calcium channel blockers seem to provide the greatest blood pressure reduction in this population. Monotherapy with ACE inhibitors, beta-adrenergic antagonists, and angiotensin II receptor blockers do not reduce blood pressure as effectively in African Americans as in other groups.
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