b. Pseudoephedrine
The nurse should recognize that pseudoephedrine is contraindicated for a client with hypertension. Pseudoephedrine is a decongestant commonly found in over-the-counter medications used to relieve nasal congestion. It works by constricting blood vessels, which can lead to an increase in blood pressure. For individuals with hypertension, this can potentially worsen their condition or interfere with blood pressure control.
Option a, Docusate Sodium, is a stool softener used to relieve constipation. It does not have a direct impact on blood pressure and is generally safe for individuals with hypertension.
Option c, Ibuprofen, is a nonsteroidal anti-inflammatory drug (NSAID) used for pain relief and reducing inflammation. While it can cause temporary elevation of blood pressure, it is generally safe for short-term use in individuals with well-controlled hypertension. However, long-term or high-dose use may affect blood pressure control and should be monitored.
Option d, Phenylephrine, is a decongestant similar to pseudoephedrine and can have similar effects on blood pressure. It should be avoided by individuals with hypertension or used with caution under medical supervision.
Option e, Caffeine-Containing Medications, may have a short-term impact on blood pressure due to its stimulant effects. However, moderate caffeine consumption is typically considered safe for individuals with hypertension. It is important to note that excessive caffeine intake or sensitivity to caffeine can cause blood pressure elevation in some individuals.
It is essential for the nurse to assess the client's complete medication profile, including prescription and over-the-counter medications, to ensure safe management of their hypertension. Consulting with a healthcare provider or pharmacist is recommended for specific guidance on medication use in individuals with hypertension.