A nurse inadvertently administered 160 mg of valsartan PO to a client who was scheduled to receive 80 mg. Which of the following actions is the priority for the nurse to take?
Evaluate the client for orthostatic hypotension.
Check the client for nasal congestion.
Obtain the client's laboratory results.
Monitor the client's urine output.
The Correct Answer is A
A. Correct. The priority is to assess the client for any adverse effects of the medication, such as a drop in blood pressure, which can result in orthostatic hypotension.
B. Incorrect. Nasal congestion is not typically associated with an overdose of valsartan.
C. Incorrect. While obtaining laboratory results might be necessary, it is not the priority action in this situation.
D. Incorrect. Monitoring urine output is important, but assessing for potential complications related to the overdose takes precedence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Incorrect. Being suspicious of others is more characteristic of paranoid personality disorder.
B. Incorrect. Ritualistic behavior is more characteristic of obsessive-compulsive personality disorder.
C. Correct. Preoccupation with aging and a fear of losing their physical attractiveness or power is a common trait in individuals with narcissistic personality disorder.
D. Incorrect. Exhibiting separation anxiety is not a defining characteristic of narcissistic personality disorder.
Correct Answer is ["A","B","C","D","E","F","G","H","I","J"]
Explanation
Client rates lower back pain a 0 on a scale from 0 to 10. No reports of vaginal discharge.
Membranes intact.
No uterine contractions noted.
FHR baseline 138, with minimal variability. No further reports of burning with urination.
Laboratory Results: WBC 12,000/mm3 (within the normal range of 5,000 to 10,000/mm3). Platelet count 188,000/mm3 (within the normal range of 150,000 to 400,000/mm3).
Vital Signs: Temperature 37.1°C (98.7°F), Blood pressure 120/78 mm Hg.
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