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 ["69"]
Explanation
To calculate the amount of voriconazole to be administered, we can follow these steps:
Convert the client's weight from pounds to kilograms.
Calculate the total amount of voriconazole needed based on the client's weight.
Determine the volume of the medication to be administered based on the concentration of the available solution.
Let's proceed with the calculations:
Converting the client's weight from pounds to kilograms:
Client's weight = 127 lb
1 lb ≈ 0.453592 kg
Client's weight ≈ 127 lb 0.453592 kg/lb ≈ 57.61 kg
Calculating the total amount of voriconazole needed:
Voriconazole dose = 6 mg/kg 57.61 kg ≈ 345.66 mg
Determining the volume of the medication to be administered:
Available voriconazole concentration = 5 mg/mL
Volume to be administered = 345.66 mg / 5 mg/mL ≈ 69.132 mL
Rounding to the nearest whole number, the nurse should administer 69 mL of voriconazole.
Correct Answer is ["2.8"]
Explanation
Convert the patient's weight from pounds to kilograms:
154 lb ÷ 2.2 = 70 kg
Calculate the dose of pentamidine:
4 mg/kg × 70 kg = 280 mg
Determine the volume to be administered:
We have 100 mg/mL concentration of pentamidine.
280 mg ÷ 100 mg/mL = 2.8 mL
Therefore, the nurse should administer 2.8 mL of pentamidine to the client.
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