The patient is a 66-year-old male with a history of type 2 diabetes and hypertension. He is on metoprolol, hydrochlorothiazide, and metformin.
Recently, he has been having trouble controlling his blood pressure and has also experienced a severe headache. He was directly admitted to the hospital from his primary care physician’s office.
Which of the following assessment findings indicates a therapeutic result of the minoxidil administered?
Mouth dryness
Dizziness while sitting up
Blood glucose 218 mg/dl
Pain rated at 1/10
The Correct Answer is A
Choice A rationale
Minoxidil is an antihypertensive vasodilating agent used for resistant hypertension. It reduces peripheral resistance and produces a fall in blood pressure. One of the side effects of minoxidil can be mouth dryness. Therefore, mouth dryness can indicate that the minoxidil is having its intended therapeutic effect.
Choice B rationale
Dizziness while sitting up is not a therapeutic result of minoxidil. It could be a side effect or a symptom of orthostatic hypotension, which is a form of low blood pressure.
Choice C rationale
Blood glucose level of 218 mg/dl is not related to the therapeutic effect of minoxidil. Minoxidil is not used to control blood glucose levels. It’s used primarily to treat high blood pressure.
Choice D rationale
Pain rated at 1/10 is not a direct therapeutic result of minoxidil. Minoxidil is not an analgesic medication and does not directly affect pain levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While it is generally recommended to take prednisone with meals to reduce stomach upset, this is not the most important instruction regarding the dosing schedule.
Choice B rationale
Prednisone is a corticosteroid that is often prescribed in a tapering schedule, meaning the dosage is gradually reduced over time. This is to allow the body to adjust and to minimize potential side effects, such as adrenal insufficiency, which can occur if prednisone is stopped suddenly.
Choice C rationale
While monitoring of blood glucose levels is important for patients taking prednisone, especially those with diabetes, as prednisone can increase blood sugar levels, it is not the most important instruction regarding the dosing schedule.
Choice D rationale
Monitoring of oral temperature daily is not typically required for patients taking prednisone.
Correct Answer is C
Explanation
Choice C rationale
Keratolytics are medications designed to dissolve skin flakes and scales. In the treatment of psoriasis, a condition characterized by thick, scaly patches of skin, the desired effect of a keratolytic would be to soften and reduce these scales.
Choice A rationale
While no purulent drainage present from lesions on the legs could be a positive sign in the treatment of psoriasis, it is not a direct result of the keratolytic properties of the applied preparation.
Choice B rationale
Affected areas being free of localized redness and swelling could be a positive sign in the treatment of psoriasis, but it is not a direct result of the keratolytic properties of the applied preparation.
Choice D rationale
Full range of motion without pain of lower extremity joints is not a direct result of the keratolytic properties of the applied preparation. It could be a positive sign in the overall treatment of psoriasis, but it is not directly related to the use of a keratolytic.
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