{"id":141090,"date":"2024-09-20T09:52:00","date_gmt":"2024-09-20T09:52:00","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=141090"},"modified":"2024-09-20T09:52:02","modified_gmt":"2024-09-20T09:52:02","slug":"a-nurse-is-collecting-data-from-a-client-who-has-hypertension","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/20\/a-nurse-is-collecting-data-from-a-client-who-has-hypertension\/","title":{"rendered":"A nurse is collecting data from a client who has hypertension"},"content":{"rendered":"\n<p>A nurse is collecting data from a client who has hypertension.<br>The nurse should recognize that which of the following over-the-counter medications is contraindicated for this client?<br>A.<br>Docusate sodium.<\/p>\n\n\n\n<p>B.<br>Pseudoephedrine.<\/p>\n\n\n\n<p>C.<br>Omeprazole.<\/p>\n\n\n\n<p>D.<br>Guaifenesin.<\/p>\n\n\n\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\"><strong>The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n<p>The correct answer is <strong>B. Pseudoephedrine<\/strong>.<\/p>\n\n\n\n<p><strong>Explanation:<\/strong><\/p>\n\n\n\n<p>Pseudoephedrine is a common over-the-counter (OTC) medication used as a decongestant. It works by constricting blood vessels in the nasal passages, which can relieve nasal congestion associated with colds or allergies. However, this vasoconstriction can have significant implications for patients with hypertension (high blood pressure).<\/p>\n\n\n\n<p>Patients with hypertension often have elevated blood pressure due to various factors, including increased blood volume or resistance in blood vessels. Pseudoephedrine can lead to further increases in blood pressure and heart rate, as it stimulates the sympathetic nervous system. This can exacerbate existing hypertension, potentially leading to complications such as hypertensive crisis or increased cardiovascular risk.<\/p>\n\n\n\n<p>In contrast, the other options are generally considered safer for clients with hypertension:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A. Docusate sodium<\/strong> is a stool softener that does not have significant cardiovascular effects and can be safely used in patients with hypertension, especially if they are dealing with constipation.<\/li>\n\n\n\n<li><strong>C. Omeprazole<\/strong> is a proton pump inhibitor used to treat conditions like gastroesophageal reflux disease (GERD). It has no direct impact on blood pressure and is typically safe for patients with hypertension.<\/li>\n\n\n\n<li><strong>D. Guaifenesin<\/strong> is an expectorant used to help loosen mucus in the airways. It does not significantly affect blood pressure and is considered safe for those with hypertension.<\/li>\n<\/ul>\n\n\n\n<p>In summary, pseudoephedrine is contraindicated for clients with hypertension due to its potential to raise blood pressure and heart rate, making it important for healthcare providers to carefully assess the appropriateness of OTC medications for patients with this condition. Always consult a healthcare professional before starting any new medication, particularly in patients with pre-existing health conditions.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nurse is collecting data from a client who has hypertension.The nurse should recognize that which of the following over-the-counter medications is contraindicated for this client?A.Docusate sodium. B.Pseudoephedrine. C.Omeprazole. D.Guaifenesin. The correct answer and Explanation is : The correct answer is B. Pseudoephedrine. Explanation: Pseudoephedrine is a common over-the-counter (OTC) medication used as a decongestant. 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