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Question

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

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

 

  

Metoprolol

 

  

Lisinopril

 

  

Hydralazine

 

  

Aspirin

 

 

 

 

Top Answer

Hypertensive crisis occurs when systolic blood pressure rises above 180 mmHg or diastolicblood... View the full answer

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