A nurse is administering the first dose of ramipril to a client who has hypertension.
The client reports feeling dizzy and lightheaded.
Which of the following should the nurse administer?
IV fluid bolus.
Naloxone.
Diphenhydramine.
15 g of carbohydrates.
The Correct Answer is A
Choice A rationale:
Administering an IV fluid bolus can help increase blood volume and thus increase blood pressure, which can alleviate symptoms of dizziness and lightheadedness. This is a common side effect of ramipril, especially after the first dose.
Choice B rationale:
Naloxone is an opioid antagonist and is not relevant in this context. It’s used to reverse the effects of opioid overdose, not to treat symptoms associated with antihypertensive medications.
Choice C rationale:
Diphenhydramine is an antihistamine used to treat allergic reactions or insomnia, not symptoms associated with antihypertensive medications.
Choice D rationale:
Administering 15 g of carbohydrates would be appropriate for a hypoglycemic patient, not for a patient experiencing dizziness and lightheadedness due to antihypertensive medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A rationale:
The gauge and length of needle used for an IM injection are important to document. This information can help track which supplies were used and can be useful for future reference.
Choice B rationale:
While it’s important to check the medication expiration date before administration, it’s not typically documented after administering medication.
Choice C rationale:
The dose of medication administered should always be documented. This helps ensure accurate medical records and allows healthcare providers to track how much of a medication a patient has received.
Choice D rationale:
The site of injection should be documented. This can help prevent complications such as repeated use of the same injection site.
Choice E rationale:
The time of administration should be documented. This helps keep track of when the patient received their medication, which is crucial for medications that need to be given at specific intervals.
Correct Answer is C
Explanation
Choice A rationale:
Donepezil does not decrease urinary output. It works by increasing the amount of a certain naturally occurring substance in the brain.
Choice B rationale:
Donepezil does not improve pulmonary function. Its primary function is to improve mental function.
Choice C rationale:
Donepezil improves cognitive function. It can improve thinking ability and slow the loss of these abilities in people who have Alzheimer’s disease.
Choice D rationale:
Donepezil does not decrease the incidence of seizures. In fact, patients should inform their healthcare provider if they have a history of seizures before starting donepezil.
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