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

Answer and Explanation

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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Correct Answer is ["2500"]

Explanation

The nurse needs to administer 2.5 L of 0.45% sodium chloride IV over 24 hours.

We know that 1 L is equal to 1000 mL.

So, 2.5 L is equal to 2.5 x 1000 mL/L = 2500 mL

Therefore, the nurse should administer 2500 mL over 24 hours.

Correct Answer is ["125"]

Explanation

To calculate the rate at which the nurse should set the IV pump to deliver dextrose 5% in 0.45% sodium chloride over 24 hours, we can use the following steps:

Given:

Total IV fluid volume: 3 L

Infusion duration: 24 hours

Step 1: Convert the total IV fluid volume from liters (L) to milliliters (mL)

Total volume = 3 L × 1000 mL/L

Total volume = 3000 mL

Step 2: Calculate the rate of infusion per hour

Rate = Total volume / Infusion duration

Rate = 3000 mL / 24 hr

Rate ≈ 125 mL/hr

Rounding to the nearest whole number:

Rate ≈ 125 mL/hr

Therefore, the nurse should set the IV pump to deliver approximately 125 mL/hr for the infusion of dextrose 5% in 0.45% sodium chloride over 24 hours.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer 0.45% sodium chloride 2.5 L IV to infuse over 24 hr. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2500"]

Explanation

A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 3 L IV to infuse over 24 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["125"]

Explanation

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