A nurse is caring for a client who is receiving prazosin. The client's blood pressure is 100/60 mm Hg. Which of the following actions should the nurse take?
Administer a reversal agent.
Initiate cardiac monitoring.
Instruct the client to stand up slowly.
Inform the client to report urinary retention.
The Correct Answer is C
A. Incorrect. Prazosin is an alpha-adrenergic blocker used to treat hypertension and does not typically require a reversal agent in this situation.
B. Incorrect. While prazosin can cause orthostatic hypotension, initiation of cardiac monitoring is not typically necessary unless there are additional signs or symptoms of cardiovascular instability.
C. Correct. Prazosin can cause orthostatic hypotension, so instructing the client to stand up slowly can help prevent falls and minimize symptoms of dizziness or lightheadedness.
D. Incorrect. While prazosin can cause urinary retention, the client's blood pressure is low, suggesting hypotension rather than urinary retention as the primary concern. Therefore, instructing the client to report urinary retention is not the most appropriate action in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Incorrect. While limiting sodium intake is important for overall health, it is not typically emphasized specifically during pregnancy unless there are specific medical indications.
B. Incorrect. While fiber is important for digestive health, the focus during pregnancy is usually on ensuring an adequate intake of nutrients like iron, calcium, and folate.
C. Incorrect. While staying hydrated is important during pregnancy, there is no specific recommendation for a set number of glasses of fluids per day. Fluid needs can vary depending on factors such as activity level, climate, and individual health status.
D. Correct. Adequate calcium intake is crucial during pregnancy for the development of the baby's bones and teeth. The recommended daily intake of calcium for adolescents during pregnancy is 1,300 milligrams.
Correct Answer is A
Explanation
A. Correct. Viral pneumonia can be highly contagious, so placing the client in a private room can help prevent the spread of the infection to other patients.
B. Incorrect. Azithromycin is an antibiotic typically used for bacterial infections and would not be indicated for viral pneumonia.
C. Incorrect. Pneumococcal immunization is effective for preventing bacterial pneumonia caused by Streptococcus pneumoniae but is not indicated for viral pneumonia.
D. Incorrect. Limiting fluid intake to 1 L per day is not appropriate for a client with viral pneumonia, as adequate hydration is important for supporting the body's immune response and preventing dehydration.
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