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 A

Explanation

A. To convert pounds to kilograms, divide the weight in pounds by 2.2. Therefore, 198 lbs ÷ 2.2 = 90 kg.
B. To convert pounds to kilograms, divide the weight in pounds by 2.2. Therefore, 198 lbs ÷ 2.2 = 90 kg.
C. To convert pounds to kilograms, divide the weight in pounds by 2.2. Therefore, 198 lbs ÷ 2.2 = 90 kg.
D. To convert pounds to kilograms, divide the weight in pounds by 2.2. Therefore, 198 lbs ÷ 2.2 = 90 kg.

A. "Regular doses are given based on the half life of the medication to maintain a therapeutic effect" B. "We try to give the next dose of medication only after the last dose is gone" C. "The time between medication varies to fit the nurse's schedule" D. "We need to vary the times of administration to keep the blood levels fluctuating"

Correct Answer is A

Explanation

A. Dosing schedules are based on the medication's half-life to maintain a consistent therapeutic level in the bloodstream.
B. Medications are dosed at intervals to maintain therapeutic levels, not just after the last dose is gone.
C. Dosing schedules are determined by pharmacokinetics, not nurse convenience.
D. Consistent blood levels are usually desired for antibiotics, not fluctuating levels.

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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

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