A nurse is collecting data from a client following his first dose of captopril.
The client's blood pressure is 88/60 mm Hg. Which of the following actions should the nurse take first?

Check blood pressure with the client standing.

Administer a 0.9% sodium chloride IV bolus.

Place the client in a supine position.

Measure blood pressure with the client sitting.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Checking blood pressure with the client standing could exacerbate the client’s symptoms due to orthostatic hypotension, which is a common side effect of captopril.

Choice B rationale:

Administering a 0.9% sodium chloride IV bolus could be considered if the client’s blood pressure does not improve with positioning changes or if the client’s condition worsens.

Choice C rationale:

Placing the client in a supine position can help increase blood flow to the brain and alleviate symptoms of low blood pressure. This should be the first action taken by the nurse.

Choice D rationale:

Measuring blood pressure with the client sitting could also exacerbate symptoms due to orthostatic hypotension. It would be more appropriate after the client’s condition has stabilized.

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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.

A. Wheezing decreases. B. Respiratory rate increases. C. Nausea decreases. D. Heart rate increases.

Correct Answer is A

Explanation

Choice A rationale:

Levalbuterol is a bronchodilator that relaxes muscles in the airways and increases air flow to the lungs. Therefore, a decrease in wheezing is a therapeutic effect of the medication, making this the correct choice.

Choice B rationale:

While levalbuterol can cause an increase in respiratory rate as a side effect, it is not considered a therapeutic effect of the medication. The primary goal of levalbuterol is to improve breathing by relaxing the muscles of the airways, not to increase respiratory rate.

Choice C rationale:

Levalbuterol does not directly affect nausea. It is primarily used to treat conditions related to breathing such as asthma and chronic obstructive pulmonary disease.

Choice D rationale:

An increased heart rate is a potential side effect of levalbuterol, not a therapeutic effect.

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A nurse is collecting data from a client following his first dose of captopril.The client's blood pressure is 88/60 mm Hg. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is taking oral prednisone for long-term management of chronic asthma.Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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A nurse is collecting data from a client following his first dose of captopril.
The client's blood pressure is 88/60 mm Hg. Which of the following actions should the nurse take first?