RN HESI EXIT CRITICAL CARE TEST BANK LATEST /CRITICAL CARE HESI EXIT EXAM 110+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES BRAND NEW!!|AGRADE

RN HESI EXIT CRITICAL CARE TEST BANK LATEST /CRITICAL CARE HESI EXIT EXAM 110+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES BRAND NEW!!|AGRADE 1. A client with asthma receives a prescription for high blood pressure during a clinic visit. Which prescription should the nurse anticipate the client to receive that is least likely to exacerbate asthma? A. Carteolol (Ocupress). B. Propranolol hydrochloride (Inderal). C. Pindolol (Visken). D. Metoprolol tartrate (Lopressor). Correct RATIONALE: The best antihypertensive agent for clients with asthma is metoprolol (Lopressor) (C), a beta2 blocking agent which is also cardioselective and less likely to cause bronchoconstriction. Pindolol (A) is a beta2 blocker that can cause bronchoconstriction and increase asthmatic symptoms. Although carteolol (B) is a beta blocking agent and an effective antihypertensive agent used in managing angina, it can increase a client's risk for bronchoconstriction due to its nonselective beta blocker action. Propranolol (D) also blocks the beta2 receptors in the lungs, causing bronchoconstriction, and is not indicated in clients with asthma and other obstructive pulmonary disorders. 2. A male client who has been taking propranolol (Inderal) for 18 months tells the nurse that the healthcare provider discontinued the medication because his blood pressure has been normal for the past three months. Which instruction should the nurse provide? A. Obtain another antihypertensive prescription to avoid withdrawal symptoms. lOMoAR cPSD| B. Stop the medication and keep an accurate record of blood pressure