Which medication would likely be prescribed for a child with nephroblastoma to manage hypertension?

In the case of a child with nephroblastoma, which is a type of kidney cancer that can lead to hypertension due to the tumor's effect on kidney function or due to increased renin production, enalapril would be a suitable choice for managing hypertension. Enalapril is an angiotensin-converting enzyme (ACE) inhibitor that works by relaxing blood vessels and lowering blood pressure, making it particularly effective in pediatric patients who may experience hypertension as a secondary effect of a renal mass or treatment.

ACE inhibitors like enalapril are often favored in managing hypertension in children, especially when renal function is a concern. They can also have beneficial effects on renal hemodynamics, which is important for patients with a kidney-related condition such as nephroblastoma.

Other medications listed may not be as suitable. Propranolol is primarily used for anxiety and certain cardiac conditions, not typically first-line for hypertension in this context. Nitroprusside is usually reserved for hypertensive emergencies due to its rapid action and potential for side effects. Digoxin is primarily used in heart failure and certain arrhythmias, and while it can have some effects on blood pressure, it is not indicated as a first-line treatment for hypertension in this scenario