The nurse is caring for a client diagnosed with hypertension and taking losartan. The nurse should monitor the client for which of the following common side effects of this medication?
Hypertension
Dizziness
Hyperglycemia
Hypotension
Tachycardia
Correct Answer : B,D
A. Losartan is an antihypertensive, so it is intended to lower blood pressure, not cause hypertension.
B. Dizziness is a common side effect due to the blood pressure-lowering effects of losartan, especially when the client changes positions quickly.
C. Hyperglycemia is not a common side effect associated with losartan.
D. Hypotension is a possible side effect, as losartan lowers blood pressure. The nurse should monitor for signs of low blood pressure, especially if the dose is too high or the client is volume depleted.
E. Tachycardia is not a common side effect of losartan.
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Correct Answer is D
Explanation
A. Adding another drug is premature; fluoxetine may need more time to show effects.
B. While some antidepressants may show effects in 1-3 weeks, fluoxetine typically requires a full 4-6 weeks to demonstrate its therapeutic effects.
C. Switching to another antidepressant after only one week may be premature; fluoxetine often takes longer to be effective.
D. Antidepressants like fluoxetine generally take 4-6 weeks to show significant effects, so patience is necessary for the medication to reach its full potential.
Correct Answer is B
Explanation
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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