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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Skipping tube placement risks misdelivery; full protocol ensures safety. Residual check alone isn’t enough, per nursing standards. This misses a critical step, universally distinct as incomplete for safe tube administration.
Choice B reason: No placement verification risks errors; drugs need flushing between. This lacks a key safety check, per nursing pharmacology. It’s universally insufficient, distinctly omitting tube confirmation for effective delivery.
Choice C reason: Missing placement and residual checks, plus no flush between drugs, risks errors. Full protocol is safer, per nursing standards. This shortcut fails universally, distinctly compromising medication administration accuracy.
Choice D reason: Checking placement, residual, and flushing between digoxin and propranolol ensures safety and efficacy. This full process aligns with nursing tube administration standards, universally recognized and distinctly applied for best outcomes.
Correct Answer is B
Explanation
Choice A reason: Routine orders are daily, not fever-specific typically. PRN suits antipyretics better. This errors per nursing pharmacology. It’s universally distinct, less flexible.
Choice B reason: PRN allows antipyretics as needed for fever episodes. This aligns with nursing pharmacology standards. It’s universally applied, distinctly appropriate here.
Choice C reason: HS (bedtime) isn’t fever-timed; PRN fits antipyretics better. This choice misaligns with nursing standards. It’s universally distinct, off fever need.
Choice D reason: STAT is one-time urgent; PRN covers ongoing fever. This errors per nursing pharmacology. It’s universally distinct, not sustained use.
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