The nurse administers the first dose of prazosin 1 mg PO to a client. Which nursing action is most appropriate following the administration of this medication?
Encourage oral fluids.
Record the client's weight
Take a pulse oximetry reading
Place the call bell in reach of the client
The Correct Answer is D
A. Encourage oral fluids: While hydration is important, it is not the most immediate concern following the administration of prazosin.
B. Record the client's weight: Weight monitoring is not specifically indicated after the initial dose of prazosin and is not a priority action in this context.
C. Take a pulse oximetry reading: While monitoring oxygen saturation is important in many situations, it is not directly related to the administration of prazosin, which primarily affects blood pressure.
D. Place the call bell in reach of the client: This is the most appropriate action. Prazosin can cause orthostatic hypotension, particularly after the first dose, leading to dizziness or fainting. Ensuring that the call bell is within reach allows the client to request help if they feel lightheaded or need assistance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Furosemide 40 mg PO daily for a client whose blood pressure is 123/86: While furosemide is important for managing fluid status, the client's blood pressure is within a normal range, and this medication does not address any acute concerns.
B) Nitroglycerin 0.4 mg SL PRN for a client complaining of chest pain: This prescription should be implemented first because it addresses an immediate and potentially life-threatening symptom. Chest pain can indicate angina or myocardial infarction, making it critical to relieve this symptom promptly.
C) Metoprolol 25 mg PO bid for a client whose heart rate is 55 beats: While metoprolol is important for managing heart rate and hypertension, a heart rate of 55 beats/minute is on the lower end and could warrant caution. The priority would be to assess the need for medication before administering it.
D) Diltiazem 30 mg PO tid for a client whose heart rate is 90 beats/min: This medication is also important for managing heart rate and hypertension but is not the priority over addressing acute chest pain. The client’s heart rate is within a normal range, so this does not require immediate action compared to the nitroglycerin for chest pain.
Correct Answer is D
Explanation
A. Meat and eggs mostly contain unsaturated fats: This statement is incorrect. Meat and eggs are primarily sources of saturated fats, which should be limited in a diet aimed at reducing coronary artery disease risk.
B. Coconut oil has a rich flavor and is a good cooking oil: This is misleading. While coconut oil is popular, it is high in saturated fats, and many health guidelines recommend limiting its use, especially for those with coronary artery disease.
C. "Olive oil is high in saturated fats so I should avoid it": This statement is also incorrect. Olive oil is primarily composed of monounsaturated fats, which are considered heart-healthy and are recommended in moderation for individuals with coronary artery disease.
D. "Canola oil is a monounsaturated fat and is recommended": This statement is accurate. Canola oil contains a high proportion of monounsaturated fats and is often recommended as a healthier option for cooking and salad dressings for those looking to limit saturated fat intake.
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