High School

A client with recurrent angina and hypertension has been started on new medications. When reviewing the admission forms, the nurse should immediately question which prescription?

1. 2 gm sodium diet
2. Metoprolol 25 mg PO once daily
3. Potassium 10 meq PO once daily
4. Diltiazem 120 mg PO once daily

Answer :

Final answer:

The prescription of a 2 gm sodium diet would likely be questioned by the nurse considering the client's recurrent angina and hypertension, as high sodium intake is linked to increased blood pressure and strain on the heart. On the other hand, medicines such as Metoprolol, potassium, and diltiazem regularly feature in treatment plans for individuals with these conditions.

Explanation:

Given the scenario, the nurse might likely question the prescription of a 2 gm sodium diet for a patient with recurrent angina and hypertension. High sodium intake is linked to increased blood pressure as it can cause water retention, which can put a strain on the heart and blood vessels. Metoprolol, potassium, and diltiazem are common interventions that control hypertension and angina pectoris symptoms. Metoprolol is a beta-blocker that helps reduce heart rate, blood pressure and stress on the heart. Potassium is often given as it can reduce the effects of sodium and help lower blood pressure. Diltiazem is a calcium channel blocker that helps relax the heart muscles and blood vessels. Thus, the prescription of a high sodium diet may warrant a discussion with the doctor.

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