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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
(a) Administer another dose of the beta-blocker as prescribed by the physician: Administering another dose of the beta-blocker may not be the best course of action. If the client is experiencing fatigue and weakness, it could be a sign that the medication’s side effects are causing these symptoms. Administering an additional dose may exacerbate these side effects. Adjusting the medication regimen should be done under the direction of the healthcare provider.
(b) Offer the client a salty snack to improve blood pressure: Offering a salty snack may increase blood pressure, but it does not address the underlying issue of the medication’s side effects. Moreover, a diet high in salt can lead to other health problems, such as heart disease and stroke.
(c) Document the client’s symptoms and notify the healthcare provider: Documenting the client’s symptoms and notifying the healthcare provider is the most appropriate initial nursing action. The healthcare provider needs to be informed so that appropriate changes to the medication regimen can be made.
(d) Encourage the client to participate in physical therapy exercises: While physical therapy exercises can be beneficial for overall health, they do not address the immediate concern of the medication’s side effects. The client’s symptoms are indicative of medication side effects rather than a lack of physical activity. While physical therapy is important, it is not the most immediate priority in addressing the client’s current symptoms.
Correct Answer is C
Explanation
Quantitative research involves the collection and analysis of numerical data to answer research questions and test hypotheses. Statistical methods are used to analyze the data and draw conclusions about relationships, differences, or effects.
A. "Quantitative research aims to understand the feelings associated with a particular event":
This statement is incorrect. Quantitative research focuses on measurable data and is concerned with objective observations rather than subjective feelings or experiences.
B. "Qualitative research studies how to implement EBP into various settings":
This statement is incorrect. Qualitative research explores subjective experiences, perceptions, and meanings to gain a deeper understanding of phenomena. It is not specifically focused on implementing evidence-based practice (EBP) into various settings.
D. "Qualitative research uses larger sample sizes than quantitative research":
This statement is incorrect. Qualitative research typically involves smaller sample sizes compared to quantitative research. The emphasis in qualitative research is on depth and richness of data rather than statistical generalizability.
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