A nurse is making a follow-up call to a client who has a new prescription for an ACE Inhibitor to treat hypertension. The client reports lightheadedness upon standing. Which of the following statements should the nurse make?

"Sit back down for a few minutes when this occurs."

"Discontinue this medication if this occurs again."

Restrict your daily fluid intake."

"Take a daily potassium supplement."

Answer and Explanation

The Correct Answer is A

A.   Correct. Lightheadedness upon standing, also known as orthostatic hypotension, can be a common side effect of ACE inhibitors. Advising the client to sit down when experiencing lightheadedness will help prevent falls.
B.   Incorrect. Discontinuing the medication without consulting a healthcare provider is not appropriate. Lightheadedness can be managed with strategies like changing positions slowly.
C.   Incorrect. Restricting fluid intake is not necessary unless advised by a healthcare provider.
Adequate hydration is important, especially with the use of certain medications.
D.   Incorrect. While potassium supplements might be prescribed in some cases with ACE inhibitors, the primary concern in this situation is addressing orthostatic hypotension.

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Correct Answer is C

Explanation

A. Incorrect. Hindu traditions often involve cremation rather than burial.
B. Incorrect. While it's important to respect the cultural and religious beliefs of the client's family, the prohibition of touching the body is not a common practice in Hinduism.
C. Correct. Cremation is a common practice in Hinduism. The body is often cremated within a relatively short period after death.
D. Incorrect. While staying with the body for a period of time is a practice in some cultures, it is not specific to Hinduism.

A. Place the bedside table 2 feet away from the bed. B. Move the client's bed to the main floor of the house. C. Keep lighting in the home dim. D. Place area rugs on slick floor surfaces.

Correct Answer is B

Explanation

A. Incorrect. The bedside table should be within easy reach of the bed to prevent the client from attempting to reach for items and potentially falling.
B. Correct. Moving the client's bed to the main floor of the house reduces the need for using stairs, which can be a fall risk for clients at risk for falls.
C. Incorrect. Keeping the lighting dim increases the risk of falls. Adequate lighting is important to prevent falls.
D. Incorrect. Area rugs on slick floor surfaces can be hazardous and increase the risk of falls.
They should be removed or secured properly.

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A nurse is making a follow-up call to a client who has a new prescription for an ACE Inhibitor to treat hypertension. The client reports lightheadedness upon standing. Which of the following statements should the nurse make?

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