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.

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 D

Explanation

Choice A rationale:

AST (Aspartate Aminotransferase) is a liver enzyme and its levels are used to assess liver function, not the effectiveness of epoetin alfa.

Choice B rationale:

Troponin is a cardiac marker used to diagnose heart attacks. It has no relation with the effectiveness of epoetin alfa.

Choice C rationale:

T4 (Thyroxine) is a thyroid hormone. Its levels indicate thyroid function, not the effectiveness of epoetin alfa.

Choice D rationale:

Hgb (Hemoglobin) levels are used to assess the effectiveness of epoetin alfa. Epoetin alfa is a medication that stimulates the production of red blood cells, thereby increasing hemoglobin levels in the blood. Normal hemoglobin levels are 13.5 to 17.5 g/dL in men and 12.0 to 15.5 g/dL in women.

A. "We should be sure that he eats a lot of protein with each meal.” B. "We should watch for an increase in unusual movements.” C. "This medication will prevent the disease from progressing.” D. "This medication should result in a rapid improvement in his condition.”

Correct Answer is B

Explanation

Choice A rationale:

While it’s important for the client to maintain a balanced diet, consuming a lot of protein with each meal does not specifically benefit a person taking levodopa/carbidopa for Parkinson’s disease.

Choice B rationale:

Levodopa/carbidopa can cause side effects such as uncontrolled muscle movements in the face, arms, legs, or trunk. Therefore, monitoring for an increase in unusual movements is a sign of understanding the potential side effects of the medication.

Choice C rationale:

Levodopa/carbidopa helps manage the symptoms of Parkinson’s disease but does not prevent the disease from progressing.

Choice D rationale:

While levodopa/carbidopa can help reduce symptoms such as stiffness and tremors, it does not typically result in a rapid improvement in condition.

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 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

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been taking epoetin alfa for 3 months.Which of the following laboratory tests should the nurse monitor to determine the effectiveness of the medication?

Correct Answer is D

Explanation

A nurse is reinforcing discharge teaching with the family of a client who has a new diagnosis of Parkinson's disease and a prescription for levodopa/carbidopa.Which of the following statements made by the client's family indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is reviewing data for a client who receives clonidine daily.Which of the following findings indicates the nurse should withhold the next dose?

A nurse is collecting data from a client who is taking aspirin.Which of the following findings should the nurse report to the provider?

A nurse is preparing to administer an enteric-coated oral medication to a client who is having difficulty swallowing.Which of the following actions should the nurse take?

A nurse is preparing to administer enoxaparin subcutaneously to a client using a prefilled syringe. The nurse should plan to use which of the following techniques when administering this medication?

A nurse is caring for a client who is receiving treatment for chronic alcohol use disorder.Which of the following medications should the nurse plan to administer to assist the client in maintaining abstinence by aversion therapy?

A nurse is collecting data from a client who has a new prescription for amoxicillin.Which of the following findings indicates that the client is having an allergic reaction to the medication?

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?

A nurse is reviewing the medication list of a client who has a new prescription for tetracycline.The nurse should instruct the client to take which of the following medications 3 hr before or after taking the tetracycline?

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?