Western Governors University (WGU) NURS5204 D027 Advanced Pathopharmacological Foundations Practice Exam

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For a Japanese patient with stage 3 hypertension already on an ACE inhibitor, what medication might be suggested next?

Lisinopril

Amlodipine

For a patient with stage 3 hypertension already taking an ACE inhibitor, such as lisinopril, adding a calcium channel blocker like amlodipine is a common and appropriate next step in managing blood pressure. Amlodipine works by relaxing the blood vessels, which helps to lower blood pressure by decreasing peripheral resistance.

In patients with resistant hypertension or those who need additional control, combining medications from different classes can enhance the effectiveness of treatment. Amlodipine, specifically, is beneficial in patients who may also have issues related to vascular tone, as it can contribute to reducing pressure effectively alongside the ACE inhibitor.

Using medication combinations can target multiple mechanisms in the body, improving overall blood pressure control and reducing the risk of cardiovascular complications associated with uncontrolled hypertension. Therefore, in this clinical scenario, selecting a medication like amlodipine following an ACE inhibitor is a strategic choice for managing the patient's condition effectively.

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Losartan

Hydrochlorothiazide

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