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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["83"]
Explanation
To calculate the IV flow rate in drops per minute, we can use the following formula:
IV flow rate (gtt/min) = (Volume to be infused in mL drop factor) / Time in minutes
Given:
Volume to be infused = 250 mL
Drop factor = 10 gtt/mL
Time = 30 minutes
Using the formula:
IV flow rate = (250 mL 10 gtt/mL) / 30 min
IV flow rate ≈ (2500 gtt) / 30 min
IV flow rate ≈ 83.33 gtt/min
Rounding to the nearest whole number, the nurse should set the manual IV flow rate to deliver 83 gtt/min.
Correct Answer is D
Explanation
Choice A reason: This choice is incorrect because fluids should not be limited to 1000 mL daily for a client taking hydrochlorothiazide. Hydrochlorothiazide is a diuretic that causes the body to lose water and salt through urine. Limiting fluids can lead to dehydration, electrolyte imbalance, and kidney damage. The client should drink enough fluids to prevent thirst and dry mouth, and follow the doctor's advice on fluid intake.
Choice B reason: This choice is incorrect because this medication is not best taken at night for a client taking hydrochlorothiazide. Hydrochlorothiazide can cause frequent urination, which can disrupt the sleep cycle and cause fatigue. The client should take this medication in the morning or at least 4 hours before bedtime to avoid nocturia (nighttime urination).
Choice C reason: This choice is incorrect because dairy products should not be avoided while on this medication for a client taking hydrochlorothiazide. Hydrochlorothiazide can lower the level of calcium in the blood, which can cause muscle weakness, cramps, and osteoporosis. Dairy products are a good source of calcium and can help prevent calcium deficiency. The client should consume adequate amounts of calcium and vitamin D, and have their blood calcium level checked regularly.
Choice D reason: This choice is correct because the client should consume high potassium foods such as bananas and oranges while on this medication. Hydrochlorothiazide can lower the level of potassium in the blood, which can cause irregular heartbeat, muscle weakness, and numbness. Potassium-rich foods can help prevent potassium deficiency and maintain normal heart and muscle function. The client should also have their blood potassium level checked regularly and avoid salt substitutes that contain potassium.
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