A nurse in a provider's office is caring for a client.
What actions should the nurse take? Select all that apply.
Monitor the client for dysrhythmias.
Advise the client to restrict potassium intake.
Advise the client to take the medication before bedtime.
Check the client for orthostatic hypotension.
Advise the client to change positions slowly.
Correct Answer : A,D,E
A. Monitor the client for dysrhythmias- The significant decrease in potassium levels (hypokalemia) can predispose the client to cardiac dysrhythmias, so monitoring for any signs or symptoms of dysrhythmias is essential.
B. Advise the client to restrict potassium intake- With potassium levels already low (hypokalemia), restricting potassium intake further could exacerbate the deficiency. Instead, the client may need to increase their potassium intake through dietary changes or supplementation under healthcare provider guidance.
C. Advise the client to take the medication before bedtime- There's no medication mentioned in the scenario that requires a specific timing like before bedtime.
D. Check the client for orthostatic hypotension- The client reports dizziness and light- headedness upon standing, which are indicative of orthostatic hypotension. Checking for orthostatic hypotension involves measuring blood pressure and heart rate in different positions (lying, sitting, and standing) to assess for postural changes.
E. Advise the client to change positions slowly- Given the client's symptoms of dizziness and light-headedness upon standing, advising them to change positions slowly can help prevent falls or injuries associated with orthostatic hypotension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Polycythemia - Alteplase does not typically cause polycythemia.
B) Laryngospasm - Laryngospasm is not a common adverse effect of alteplase.
C) Hemorrhage - Alteplase is a thrombolytic agent and increases the risk of bleeding, including intracranial hemorrhage, especially in the context of recent stroke.
D) Steatorrhea - Steatorrhea is not a common adverse effect of alteplase.
Correct Answer is B
Explanation
A) Prior episode of kidney stones - A history of kidney stones is not a
contraindication to prednisone therapy.
B) Has a systemic fungal infection - Prednisone is contraindicated in clients with
systemic fungal infections due to its immunosuppressive effects.
C) History of asthma - Prednisone is commonly used to manage asthma
exacerbations, so a history of asthma would not be a contraindication.
D) Taking levothyroxine orally - Taking levothyroxine orally is not a contraindication
to prednisone therapy.
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