A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should collect further data from the client before administering medication?

The client reports having trouble sleeping the previous night.

The client reports dizziness when ambulating to the bathroom.

The client has a urine output of 400 mL for the past 8 hr

The client ate 60% of their breakfast.

Answer and Explanation

The Correct Answer is B

A. Trouble sleeping the previous night may not be directly related to the decision to withhold antihypertensive medication.
B. Dizziness when ambulating could indicate hypotension, which can be exacerbated by antihypertensive medication. The nurse should collect further data to ensure the patient's blood pressure is safe for medication administration.
C. Urine output is important to monitor but does not directly indicate a need to withhold antihypertensive medication unless associated with other symptoms.
D. Eating 60% of breakfast does not indicate a need to collect further data before administering antihypertensive medication.

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Correct Answer is B

Explanation

A. Potassium chloride is used to treat potassium deficiency and is not indicated for acute angina attacks.
B. Nitroglycerin is a vasodilator that is commonly used to relieve and prevent acute angina attacks by increasing blood flow to the heart.
C. Furosemide is a diuretic used to treat fluid retention and high blood pressure, not angina.
D. Atenolol is a beta-blocker used to treat high blood pressure and angina but is not typically used for acute attacks.

A. "I will always repeat the prescription back to the provider after receiving it." B. "All telephone prescriptions must be directly transcribed into the nurse's notes." C. "I will ask the provider for clarification when I do not understand." D. "Telephone prescriptions should be signed by the provider as soon as possible."

Correct Answer is B

Explanation

A. Repeating the prescription back to the provider ensures accuracy and is a best practice.
B. Telephone prescriptions should be transcribed into the appropriate medical record or order entry system, not just the nurse's notes. This ensures the prescription is documented correctly and can be acted upon by other healthcare team members.
C. Asking for clarification when the prescription is not understood is crucial to prevent errors.
D. Telephone prescriptions should be signed by the provider as soon as possible to ensure they are valid and have been accurately communicated.

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A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should collect further data from the client before administering medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

This medication is most commonly used to treat acute angina attacks:

Correct Answer is B

Explanation

A nurse is orienting a newly licensed nurse about obtaining telephone prescriptions. Which of the following statements by the new nurse indicates a need for further teaching?

Correct Answer is B

Explanation

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