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    Pharmacology proctored exam (regular)

    The nurse is caring for a 39-year-old client of African descent who is 25 pounds overweight and who has received a new diagnosis of hypertension. What initial drug therapy should the nurse anticipate?

    Explanation & Rationale

    A. Angiotensin-converting enzyme (ACE) inhibitor: ACE inhibitors are commonly used for hypertension but may not be the first-line therapy for African American clients, especially those who are overweight. They are often more effective when combined with other medications like diuretics or calcium channel blockers. B. Beta-blocker: Beta-blockers are not typically the first choice for African American clients with hypertension. Beta-blockers alone may not be as effective in this population compared to other drug classes, especially for newly diagnosed cases. C. Calcium channel blocker: Calcium channel blockers are considered a first-line treatment for African American clients with hypertension. These medications are effective in reducing blood pressure and are well-tolerated, making them an ideal choice in this case. D. Diuretic: While diuretics can be effective for hypertension, they are often used in combination with other medications. Although they may be an option, calcium channel blockers are usually considered first for African American clients with hypertension.

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