A clinic nurse has been assigned a 49-year-old female client who has a history of diabetes. A recent diagnosis of hypertension has been made, and the client has been prescribed a hydrochlorothiazide and metoprolol. The client will be scheduled to return to the clinic once a month for the next 6 months. A priority action by the nurse will be to:

question the client about her dietary intake.

monitor the client's blood pressure.

weigh the client.

monitor the client's respiratory rate.

Answer and Explanation

The Correct Answer is B

A. While dietary intake is important, especially regarding sodium and fluid balance, it is not the highest priority compared to monitoring blood pressure.

B. Monitoring the client's blood pressure is essential to evaluate the effectiveness of the prescribed antihypertensive medications and to ensure the client is within the target range for managing her hypertension.

C. Weighing the client is important for monitoring fluid retention, especially with hydrochlorothiazide, but it is secondary to direct blood pressure monitoring.

D. Monitoring the respiratory rate is generally less critical in this scenario unless there are specific concerns related to medication side effects or respiratory conditions.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. A return to normal respiratory rate, rhythm, and depth is correct because opioid antagonists, such as naloxone, are primarily used to reverse the respiratory depression caused by opioid overdose.

B. Management of alcohol withdrawal symptoms is incorrect; opioid antagonists do not address alcohol withdrawal.

C. A reduction in the client's rating of their pain is incorrect; opioid antagonists counteract the effects of opioids, which can result in increased pain levels rather than reduction.

D. Alertness and improve memory function is incorrect; while opioid antagonists may improve alertness by reversing sedation, the primary goal focuses on restoring respiratory function.

Correct Answer is ["0.6"]

Explanation

Volume (mL) = Desired dose (units) / Concentration (units/mL)

In this case:

Desired dose = 6000 units
Concentration = 10000 units/mL

Plugging the values into the formula:

Volume = 6000 units / 10000 units/mL = 0.6 mL

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When administering an opioid antagonist drug to a client, the primary goal of the therapy is to provide:

Correct Answer is A

Explanation

Order: Heparin 6000 units subq Dose on hand: Heparin 10,000 units/mL vial Question: How many mL of heparin does the nurse administer?

Correct Answer is ["0.6"]

Explanation

When caring for a patient who has been admitted for his heart failure, the nurse observes that the patient is experiencing bradycardia. Which drug should be administered to patients who develop bradycardia?

The nurse is caring for a client who is experiencing pulmonary edema. The client is treated with furosemide. What will the nurse monitor most closely?

Interpret and spell the abbreviation: qh

To ensure that the most appropriate drug is being used to treat a pathogen, which would need to be done first?

The nurse is preparing to administer a sublingual medication. Which instruction to the client is correct?

A client previously experienced a severe anaphylactic reaction to penicillin G. Which medication class should not be administered to this client due to the potential for cross-sensitivity?

In discussing the safe use of drugs in the institutional setting, what duty is performed by the nurse? (Select all that apply.)

A client began taking hydrochlorothiazide 1 week ago and is reporting occasional dizziness when standing up quickly from sitting or lying. What is the nurse's best action?