A nurse is administering an IV antihypertensive to a client who has a BP of 185/130 mm Hg. Which of the following actions should the nurse take first?

Check for orthostatic hypertension.

Instruct the client to restrict sodium intake.

Assist the client to make lifestyle changes.

Monitor the client's BP every 5 minutes.

Answer and Explanation

The Correct Answer is D

A. Check for orthostatic hypertension: While checking for orthostatic hypertension is important; it is not the first action a nurse should take when administering an IV antihypertensive. The priority is to monitor the client’s response to the medication.

B. Instruct the client to restrict sodium intake: While dietary modifications such as sodium restriction can help manage hypertension, it is not the immediate concern when administering an IV antihypertensive. The priority is to monitor the client’s response to the medication.

C. Assist the client to make lifestyle changes: Lifestyle changes are a crucial part of managing hypertension, but they are not the immediate concern when administering an IV antihypertensive. The priority is to monitor the client’s response to the medication.

D. Monitor the client’s BP every 5 minutes: This is the correct answer. When administering an IV antihypertensive, it is crucial to closely monitor the client’s blood pressure to assess the effectiveness of the medication and to ensure the client’s safety. The client’s high blood pressure of 185/130 mm Hg is a serious condition that requires immediate and careful management.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["50"]

Explanation

Let's calculate the rate for the IV infusion.

We are given:

Volume to be infused: 400 mL

Infusion time: 8 hours

Drop factor: 60 gtt/mL

We need to find the rate in gtt/min.

Here's how we can do it:

Convert hours to minutes: Since the rate is required in minutes, we need to convert the infusion time from hours to minutes. There are 60 minutes in 1 hour. Therefore, total infusion time in minutes = 8 hours x 60 minutes/hour = 480 minutes

Calculate total number of drips: We can find the total number of drips to be delivered by multiplying the volume (in mL) by the drop factor (gtt/mL). Total drips = Volume (mL) x Drop factor (gtt/mL) = 400 mL x 60 gtt/mL = 24000 gtt

Calculate drip rate (gtt/min): Finally, we can calculate the rate by dividing the total number of drips by the total infusion time in minutes. Rate (gtt/min) = Total drips (gtt) / Total time (minutes) = 24000 gtt / 480 minutes = 50 gtt/min

Therefore, the nurse should set the manual IV infusion to deliver approximately 50 gtt/min.

A. Open access peer-reviewed articles must be purchased by the user. B. Editorial opinion articles by journalists can be as relevant as peer-reviewed articles C. Peer-reviewed articles are not considered scholarly sources of evidence. D. Peer-reviewed articles have been through laborious review by other professionals.

Correct Answer is D

Explanation

A. Open access peer-reviewed articles must be purchased by the user: This is not accurate. Open access articles are freely available to the public and do not require purchase.

B. Editorial opinion articles by journalists can be as relevant as peer-reviewed articles: While editorial opinion articles can provide valuable insights, they are not subjected to the same rigorous review process as peer-reviewed articles. Therefore, they are not considered as reliable or authoritative as peer-reviewed articles.

C. Peer-reviewed articles are not considered scholarly sources of evidence: This is incorrect. Peer-reviewed articles are considered one of the highest levels of scholarly sources of evidence. They have been reviewed and approved by experts in the field before publication.

D. Peer-reviewed articles have been through laborious review by other professionals: This is correct. Peer-reviewed articles undergo a rigorous review process by experts in the field, ensuring the research is of high quality and the findings are valid.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is administering an IV antihypertensive to a client who has a BP of 185/130 mm Hg. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["50"]

Explanation

A nurse is preparing an in-service about evidence-based practice (EBP). Which of the following information should the nurse include about peer-reviewed sources of information?

Correct Answer is D

Explanation

The nurse is sitting at the desk watching the telemetry monitors and notes a patient's rhythm suddenly shows asystole. Which action should the nurse take first?

A nurse is collecting data from a newborn who has respiratory distress syndrome and is experiencing respiratory acidosis. Which of the following risk factors predisposes the newborn to respiratory difficulties?

A nurse is caring for a client who has hypertension and recently developed drooping facial features. When contacting the provider, which of the following statements should the nurse include as part of the background component of the SBAR communication tool?

A nurse is collecting research to revise the protocol for specimen collection on their unit. From which of the following sources should the nurse retrieve the information?

A nurse is administering an IV antihypertensive to a client who has a BP of 185/130 mm Hg. Which of the following actions should the nurse take first?

A nurse is collecting data from a client who has venous insufficiency. Which of the following findings should the nurse expect?

A nurse is contributing to the plan of care for a client who has had HIV for 10 years and is at the end of life. Which of the following interventions should the nurse recommend?

A nurse is collecting data from a client who is at the end of life. Which of the following findings should the nurse expect?