A nurse is reviewing data for a client who receives clonidine daily. Which of the following findings indicates the nurse should withhold the next dose?
Heart rate 110/min
Urine output 600 mL in 8 hr
Blood pressure 88/50 mm Hg
Blood glucose 70 mg/Dl
The Correct Answer is C
A. Clonidine primarily affects blood pressure and not heart rate.
B. Clonidine does not directly affect urine output.
C. Clonidine is an antihypertensive medication, and a low blood pressure reading indicates the need to withhold the next dose.
D. Clonidine does not typically affect blood glucose levels.
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Related Questions
Correct Answer is D
Explanation
A. It is premature to change medications after only 6 days, as antidepressants may take several weeks to show therapeutic effects.
B. Dose adjustments should be done cautiously, and waiting for the full therapeutic effect is important before making changes.
C. Administration instructions do not significantly impact the speed of therapeutic effects.
D. This is the correct answer because amitriptyline is a tricyclic antidepressant that takes 2 to 4 weeks to reach its full effect.
Correct Answer is D
Explanation
A. Nitroglycerin is meant to be absorbed under the tongue, and water is not necessary.
B. The client should take up to three doses 5 minutes apart and seek emergency medical attention if pain persists. The maximum number of tablets that should be taken in 15 minutes is 3 and not 4 since this could cause severe hypotension and headache.
C. Nitroglycerin tablets are meant to be dissolved under the tongue, not chewed or swallowed.
D. Sublingual nitroglycerin is used to prevent angina attacks by dilating the coronary arteries and increasing blood flow to the heart. The client should take one tablet for 5 to 10 minutes before engaging in an activity that might trigger angina, such as exercise, stress, or cold exposure.
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