A nursing responsibility for a patient receiving an antihypertensive medication is to:

Take the patient’s blood pressure every 4 hr. in the same arm in supine position

Teach the patient to stand or sit up slowly to avoid dizziness or fainting

Discontinue the patient’s medication if the blood pressure decreases

Increase the dose if the patient experiences tachycardia

Answer and Explanation

The Correct Answer is B

Choice A reason: BP every 4 hours isn’t universal; slow rising is key. This errors per nursing standards. It’s universally distinct, not the primary responsibility.

Choice B reason: Teaching slow position changes prevents antihypertensive-induced dizziness. This fits nursing pharmacology standards. It’s universally applied, distinctly critical for safety.

Choice C reason: Stopping meds needs orders; slow rising manages drops. This misaligns with nursing pharmacology. It’s universally distinct, errors in protocol.

Choice D reason: Tachycardia doesn’t justify dose increase; slow rising helps. This errors per nursing standards. It’s universally distinct, off responsibility mark.

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Correct Answer is C

Explanation

Choice A reason: Lasix is given IV or orally, not subQ in the belly. Heparin fits this route, per nursing standards. This errors universally, distinctly missing subcutaneous administration.

Choice B reason: Digoxin is oral or IV, not subQ in the abdomen. Heparin is correct, per nursing pharmacology. This misaligns universally, distinctly unrelated to belly injections.

Choice C reason: Heparin is injected subQ in the belly, 2 inches from umbilicus, for anticoagulation. This matches, per nursing standards. It’s universally applied, distinctly effective.

Choice D reason: Phenobarbital is oral or IV, not subQ in the belly. Heparin suits this, per nursing pharmacology. This errors universally, distinctly off-target for route.

A. Kidney to excrete drugs more rapidly B. Liver to metabolize drugs more rapidly C. Liver to metabolize drugs more slowly D. Kidney to excrete drugs more slowly

Correct Answer is B

Explanation

Choice A reason: Smoking impacts liver, not kidney excretion speed primarily. Liver metabolism accelerates instead. This choice errors per nursing pharmacology. It’s universally distinct, targeting the wrong organ for effect.

Choice B reason: Smoking induces liver enzymes, speeding drug metabolism significantly. This aligns with nursing pharmacology standards. It’s universally recognized, distinctly affecting drug efficacy and dosing needs.

Choice C reason: Smoking hastens, not slows, liver drug metabolism typically. This choice reverses nursing pharmacology facts. It’s universally distinct, contradicting known metabolic effects of smoking.

Choice D reason: Kidney excretion isn’t slowed by smoking; liver speeds metabolism. This choice misaligns with nursing standards. It’s universally distinct, errors in organ and effect direction.

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A nursing responsibility for a patient receiving an antihypertensive medication is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following drugs is administered subcutaneously, in the belly, at least 2 inches from the umbilicus?

Correct Answer is C

Explanation

Smoking cigarettes affects drug metabolism by causing the:

Correct Answer is B

Explanation

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