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 D
Explanation
A) Baked chicken, baked beans, french fries, and cake: While baked chicken and baked beans may have some nutritional benefits, the inclusion of french fries and cake adds unhealthy fats and sugars, which are not recommended for a client with hypertension. High sodium levels in processed foods can also be problematic.
B) Grilled steak, fresh green beans, mashed potatoes, and ice cream: Grilled steak can be high in saturated fat, and mashed potatoes may be loaded with butter or cream. Ice cream adds excessive sugar and fat, which are not ideal for managing hypertension.
C) Tomato soup, fried flounder, white rice, and an apple: Fried flounder is high in unhealthy fats, and white rice can be high in carbohydrates without the fiber found in whole grains. While the apple is a healthy choice, the overall menu does not support hypertension management effectively.
D) Baked salmon, fresh broccoli, brown rice, and fresh fruit: This option is the most appropriate for a client with hypertension. Baked salmon is rich in omega-3 fatty acids, fresh broccoli provides fiber and vitamins, brown rice offers whole grains, and fresh fruit adds essential nutrients without excessive sugars. This combination supports heart health and helps manage blood pressure effectively.
Correct Answer is C
Explanation
A) Has gained 2 pounds and has pink buccal mucosa: While weight gain and pink mucosa are positive signs, they are not definitive indicators of effective treatment for Vitamin B12 deficiency specifically.
B) Verbalizes eating more iron-fortified cereals: This dietary change is beneficial for overall nutrition but does not directly relate to the treatment of Vitamin B12 deficiency. Iron and Vitamin B12 serve different functions in the body.
C) No longer has paresthesia of the hands and feet: The resolution of paresthesia is a strong indicator that the treatment for Vitamin B12 deficiency has been effective. Paresthesia is often associated with nerve damage due to B12 deficiency, so its absence suggests improvement.
D) Has stopped drinking any alcoholic beverages: While reducing alcohol intake can be beneficial for overall health and may help with nutrient absorption, this change alone does
not indicate that the specific treatment for Vitamin B12 deficiency has been effective.
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