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Prior to assuming care on a client, you review the client's medical records found below.

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Admitting diagnosis: Hypertensive crisis, tachycardia

Past medical history: Hypertension, atrial fibrilation

Past surgical history: None


Admitting Medication orders:

Lisinopril 20 mg PO daily

Aspirin 81 mg PO daily

Spironolactone 50 mg PO every morning

Metoprolol 25 mg PO BID

Hydralazine 20 mg IV push Q 1-hour PRN SBP greater than 150 or DBP greater than 100.


Lab data and Vital Signs:

Vital signs

Temperature           98.5

Blood pressure         210/120

Pulse                 130

Respiratory Rate        18


Chemistry Panel

Sodium               141 mEq/ L

Potassium             5.5 mEq/ L

Chloride               104 mEq/ L

Bicarbonate            20 mEq

BUN                  55 mg/ dL

Creatinine             2.5 mg/dL

Calcium               8.7 mEq/L

Glucose               105 mg/dL


Based on the data listed above, what medication orders should the nurse question? SELECT ALL THAT APPLY:


Spironolactone

Aspirin

Metoprolol

Hydralazine

Lisinopril

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