The nurse is administering the first dose of hydralazine to an older adult. The nurse should place the client on which of the following precautions?
Airborne Precautions
Fall precautions
Suicide Precautions
Standard Precautions
The Correct Answer is B
A. Airborne precautions are unnecessary for administering hydralazine, as it does not involve airborne transmission risks.
B. Hydralazine can cause orthostatic hypotension, especially in older adults, increasing the risk of falls. Therefore, fall precautions are essential.
C. Suicide precautions are not specifically indicated for hydralazine administration.
D. Standard precautions are always in place but do not address the specific risks associated with hydralazine.
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Related Questions
Correct Answer is D
Explanation
A. Nicotine cravings or withdrawal are expected and do not require immediate notification of the provider.
B. Headache and nausea are common side effects but do not require immediate notification unless severe.
C. Dry mouth or constipation can be side effects but are not typically urgent concerns.
D. Varenicline has been associated with serious neuropsychiatric effects, including mood swings, depression, and suicidal ideation. These symptoms require immediate medical attention.
Correct Answer is A
Explanation
A. Clozapine requires regular monitoring of the white blood cell count due to the risk of agranulocytosis, a potentially serious side effect.
B. While potassium levels are important, they are not the primary concern with clozapine administration.
C. BUN/Creatinine levels are monitored for kidney function but are not specific to clozapine.
D. Sodium levels are not the primary concern with clozapine administration.
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