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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale:

A Positive Chvostek’s sign is a clinical finding associated with hypocalcemia, or low levels of calcium in the blood. It’s not directly related to glyburide usage or symptoms of anxiety and profuse sweating.

Choice B rationale:

Pitting pedal edema occurs when excess fluid builds up in the body, causing swelling. It’s not directly related to glyburide usage or symptoms of anxiety and profuse sweating.

Choice C rationale:

Decreased deep-tendon reflexes or hyporeflexia happens when your skeletal muscles have a decreased or absent reflex response. It’s not directly related to glyburide usage or symptoms of anxiety and profuse sweating.

Choice D rationale:

Decreased blood glucose level or hypoglycemia occurs when your blood sugar (glucose) level falls too low. Glyburide is an oral diabetes medicine that helps control blood sugar levels. Anxiety and profuse sweating are symptoms of low blood sugar.

A. "I will take this medication on an empty stomach.” B. "I will report a sore throat to my provider.” C. "I should increase the sodium in my diet.” D. "I should watch for weight loss.” .

Correct Answer is B

Explanation

Choice A rationale:

Prednisone does not need to be taken on an empty stomach. In fact, taking it with food can help reduce stomach upset.

Choice B rationale:

Prednisone suppresses the immune system, which can make users more susceptible to infections. Therefore, reporting symptoms like a sore throat to the provider is important.

Choice C rationale:

Prednisone can cause fluid retention and high blood pressure, so increasing sodium intake would not be advisable.

Choice D rationale:

Weight gain is a common side effect of prednisone due to increased appetite and fluid retention. Weight loss is not typically expected.

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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?

Nursing Test Bank

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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?