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
Explanation
Choice A rationale:
A respiratory rate of 10/min is lower than the normal range (12-20 breaths per minute for adults), indicating respiratory depression, which is a serious side effect of morphine and should be reported immediately.
Choice B rationale:
Facial flushing is a common side effect of morphine due to histamine release but it’s not life-threatening.
Choice C rationale:
Constipation is a common side effect of morphine and can be managed with laxatives and diet.
Choice D rationale:
Blood pressure 88/56 mm Hg is lower than the normal range (90/60mmHg to 120/80mmHg), indicating hypotension, which can be a side effect of morphine but it’s not as immediately life-threatening as respiratory depression.
Correct Answer is C
Explanation
Choice A rationale:
“You must rinse your mouth out after each dose.” This is incorrect. Rinsing the mouth after each dose is usually recommended for inhaled corticosteroids, not oral prednisone.
Choice B rationale:
“You should take this medication on an empty stomach.” This is incorrect. Prednisone should be taken with food to prevent stomach upset.
Choice C rationale:
“You should take a calcium supplement while taking this medication.” This is correct because long-term use of prednisone can lead to bone loss (osteoporosis) Taking a calcium supplement can help protect bone health.
Choice D rationale:
“You can expect some weight loss with this medication.” This is incorrect. Weight gain, not weight loss, is a common side effect of long-term prednisone use.
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