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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"B"}
Explanation
When interpreting test results, particularly for an infectious disease like tuberculosis (TB), the nurse must prioritize specific infection control measures to prevent the spread of the disease.
The correct actions are:
- Wear an N95 respirator mask: This mask is essential for protecting the nurse and others from inhaling airborne pathogens that the client with TB might expel.
- Place the client in a room with negative air pressure: This type of room ensures that airborne contaminants do not escape into the hallway or other areas, thereby containing the infection and protecting others in the healthcare facility.
These measures are critical in managing the spread of TB and ensuring the safety of both healthcare workers and other patients.
Correct Answer is D
Explanation
A. Constipation can be caused by various factors including pain medications, but it is not a direct indicator of unrelieved pain.
B. Difficulty swallowing may not be directly related to unrelieved pain from the herniated disc.
C. Urinary retention is more likely related to the anesthesia effects or nerve compression in the spine rather than unrelieved pain.
D. Correct. Clenched teeth or grimacing are often signs of unrelieved pain. These nonverbal cues can be important indicators of discomfort in patients who might not verbally express their pain.
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