The patient with an RA flare is prescribed 3 weeks of prednisone. Which med dose may need to be adjusted?

Metoprolol

Acetaminophen

Lisinopril

Insulin

Answer and Explanation

The Correct Answer is A

Choice A rationale: Prednisone can potentiate the effects of beta-blockers like metoprolol, and dose adjustments may be necessary to avoid excessive bradycardia.
Choice B rationale: Acetaminophen is not typically affected by prednisone in a way that requires dose adjustment.
Choice C rationale: Lisinopril is not typically affected by prednisone in a way that requires dose adjustment.
Choice D rationale: Insulin may need adjustment due to the hyperglycemic effects of prednisone.

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Correct Answer is A

Explanation

Choice A rationale: A blood pressure reading of 72/56 mmHg may be expected after spinal anesthesia. The nurse should continue to monitor the blood pressure to ensure it stabilizes within an acceptable range for the individual patient.
Choice B rationale: Headache is a common side effect of spinal anesthesia, and the nurse should assess for this but should not be the first action with the given blood pressure reading.
Choice C rationale: Administering oxygen by nasal cannula may not be necessary based solely on the blood pressure reading after spinal anesthesia.
Choice D rationale: Elevating the client's feet is not the first intervention for a blood pressure reading of 72/56 mmHg after spinal anesthesia. It may be considered if the blood pressure remains low and symptoms of hypotension are present.

A. Nasal congestion B. Orthostatic hypotension C. Inhibition of ejaculation D. Reflex tachycardia

Correct Answer is B

Explanation

Choice A rationale: Nasal congestion is a common side effect of alpha1-adrenergic blockers, not a cause for concern.
Choice B rationale: Orthostatic hypotension is a potential adverse effect of alpha1- adrenergic blockers like prazosin. It can lead to dizziness and falls, particularly when moving from a lying or sitting position to a standing one.
Choice C rationale: Inhibition of ejaculation is a potential side effect of alpha1- adrenergic blockers but is not of the most concern compared to orthostatic hypotension.
Choice D rationale: Reflex tachycardia is not a typical adverse effect of alpha1- adrenergic blockers.

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The patient with an RA flare is prescribed 3 weeks of prednisone. Which med dose may need to be adjusted?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has received spinal anesthesia. The nurse obtains a blood pressure reading of 72/56 mL/Hg. The nurse will

Correct Answer is A

Explanation

A patient is receiving Prazosin, a drug that blocks alpha1-adrenergic receptors. Which adverse effect, if experienced by the patient, is of most concern to the nurse?

Correct Answer is B

Explanation

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