Question

Mrs. Swenson is a 71-year-old patient who has been referred to mental

health services for evaluation and management of dementia. She recognized
her own cognitive decits and discussed them with her primary care
provider, who advised that she seek specialty care. After performing a
comprehensive assessment, the PMHNP diagnoses the patient with vascular
dementia. While reviewing her medication list from the PCP, the PMHNP
recognizes that which of the following medications may be contributing to
Mrs. Swenson’s cognitive impairment?
Metformin (Glucophage)
Clopidogrel (Plavix)
Metoprolol (Lopressor)
Lisinopril (Lotensin)

Answer 1

Answer: The medication that may be contributing to Mrs. Swenson’s cognitive impairment is METOPROLOL (LOPRESSOR).

Step-by-step explanation:

Mrs Swenson recognized her own cognitive decits and discussed them with her primary care provider. After performing a comprehensive assessment, the PMHNP diagnoses the patient with VASCULAR

DEMENTIA. The medication that may be contributing to Mrs. Swenson’s cognitive impairment is METOPROLOL (LOPRESSOR).

Metoprolol is a nonpsychotropic drug which is a selective beta blocker used in lowering blood pressure in order to prevent heart attacks, stroke and kidney problems. It's usually marketed under the trade name LOPRESSOR. Being an elderly patients who is at risk of High blood pressure, it must have been prescribed from the PCP.

Prolonged use of METOPROLOL has the ability to damage the blood vessels of the brain leading to a condition known as VASCULAR DEMENTIA which causes cognitive impairment. I hope this helps, thanks.