A nurse is assessing a client who is taking losartan. Which of the following findings should the nurse identify as an adverse effect of this medication?
Hypertension
Dizziness
Double vision
Hyperactivity
The Correct Answer is B
A. Losartan is an angiotensin II receptor blocker (ARB) used to treat hypertension, so it does not cause hypertension. Instead, it lowers blood pressure.
B. Dizziness is a common adverse effect of losartan due to its blood pressure-lowering effects, which can lead to orthostatic hypotension.
C. Double vision is not a known adverse effect of losartan.
D. Losartan does not cause hyperactivity; it is more likely to cause fatigue or weakness.
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Related Questions
Correct Answer is B
Explanation
A. Allergic. Symptoms of an allergic reaction to a blood transfusion typically include itching, rash, and hives rather than chills, headache, or low-back pain.
B. Acute hemolytic. This reaction occurs when the client receives incompatible blood, leading to red blood cell destruction. Symptoms include chills, headache, low-back pain, chest tightness, hypotension, and fever.
C. Bacterial. A bacterial transfusion reaction is usually caused by contaminated blood products and presents with fever, chills, hypotension, and possible sepsis. The described symptoms suggest a different reaction.
D. Febrile nonhemolytic. This reaction is more common and presents with fever, chills, and headache but does not typically include low-back pain or chest tightness, which are more indicative of an acute hemolytic reaction.
Correct Answer is D
Explanation
A. Constipation is a common side effect of risperidone due to its anticholinergic effects. However, it is not the priority because it is not immediately life-threatening.
B. Visual disturbances can occur with risperidone, but they are not as urgent as cardiovascular abnormalities.
C. Dry mouth is another anticholinergic side effect, but it is not a priority concern compared to an irregular pulse.
D. Irregular pulse is the priority finding because risperidone can prolong the QT interval, increasing the risk of serious cardiac arrhythmias, including torsades de pointes, which can be life-threatening. Therefore, this finding should be reported to the provider immediately.
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