The nurse is giving the vasodilator medication hydralazine IV push to a client with a systolic blood pressure of 210. What nursing education would be most important to include for this client?
Immediately report a dry cough
Low heart rate is common with this medication
Do not take this medication with birth control
Do not get up without assistance
The Correct Answer is D
Choice A reason: This is incorrect because a dry cough is not a common or serious side effect of hydralazine. A dry cough is more likely to occur with angiotensin-converting enzyme (ACE) inhibitors, which are another class of antihypertensive drugs.
Choice B reason: This is incorrect because hydralazine does not cause a low heart rate. In fact, hydralazine can cause a reflex increase in heart rate as a result of lowering the blood pressure. This is why hydralazine is often given with a beta-blocker, which can slow down the heart rate.
Choice C reason: This is incorrect because hydralazine does not interact with birth control. However, the nurse should advise the client to use effective contraception while taking hydralazine, as this medication can cause fetal harm if used during pregnancy.
Choice D reason: This is correct because hydralazine can cause orthostatic hypotension, which is a sudden drop in blood pressure when changing positions. This can lead to dizziness, fainting, and falls. The nurse should instruct the client to avoid getting up too quickly and to ask for assistance if needed.
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Related Questions
Correct Answer is ["8"]
Explanation
To calculate the amount of phenytoin oral suspension to administer, we can use the following formula:
Amount to administer (mL) = (Desired dose (mg) / Available dose (mg/mL))
Plugging in the given values:
Amount to administer (mL) = (200 mg / 125 mg/5 mL)
Now, let's solve for the amount to administer:
Amount to administer (mL) = (200 mg / 125 mg/5 mL) = (200 / 125) 5 = 8
So, the nurse should administer 8 mL of phenytoin oral suspension via the gastrostomy tube.
Correct Answer is ["1.1"]
Explanation
To calculate the amount of cefazolin that the nurse should add to the 50 mL of 0.9% sodium chloride, we can use the following steps:
Calculate the amount of cefazolin needed to prepare the solution:
- The concentration to be achieved is 225 mg/mL.
- The required dose is 250 mg.
Calculate the volume of cefazolin needed:
- 250 mg ÷ 225 mg/mL = 1.111... mL
- Rounded to the nearest tenth, the nurse should add 1.1 mL of cefazolin to the 50 mL of 0.9% sodium chloride.
Therefore, the nurse should add 1.1 mL of cefazolin to the 50 mL of 0.9% sodium chloride to prepare the solution for IV administration.
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