A nurse is caring for a client who is receiving prazosin. The client's blood pressure is 100/60 mm Hg. Which of the following actions should the nurse take?

Administer a reversal agent.

Initiate cardiac monitoring.

Instruct the client to stand up slowly.

Inform the client to report urinary retention.

Answer and Explanation

The Correct Answer is C

A.   Incorrect. Prazosin is an alpha-adrenergic blocker used to treat hypertension and does not typically require a reversal agent in this situation.
B.   Incorrect. While prazosin can cause orthostatic hypotension, initiation of cardiac monitoring is not typically necessary unless there are additional signs or symptoms of cardiovascular instability.
C.   Correct. Prazosin can cause orthostatic hypotension, so instructing the client to stand up slowly can help prevent falls and minimize symptoms of dizziness or lightheadedness.
D.   Incorrect. While prazosin can cause urinary retention, the client's blood pressure is low, suggesting hypotension rather than urinary retention as the primary concern. Therefore, instructing the client to report urinary retention is not the most appropriate action in this scenario.

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Correct Answer is D

Explanation

A. Celiac disease is an autoimmune disorder characterized by intolerance to gluten, a protein found in wheat, barley, and rye. It is not directly related to excessive milk consumption.

B. Lactose intolerance is a condition in which the body is unable to digest lactose, the sugar found in milk and dairy products. Excessive milk consumption could exacerbate symptoms in individuals with lactose intolerance, but it is not the primary concern in this scenario.
C. Acute renal failure is not directly related to excessive milk consumption in an otherwise healthy toddler.
D. Excessive milk consumption can interfere with iron absorption from other foods, leading to iron-deficiency anemia, especially if the child's overall diet is poor or lacks sources of iron.
Therefore, this practice places the toddler at risk for iron-deficiency anemia.

A. Projection B. Rationalization C. Repression D. Sublimation

Correct Answer is B

Explanation

A. Projection involves attributing one's own unacceptable thoughts or feelings to another person. In this scenario, the client is not blaming others for their behavior but rather providing a reason for their behavior.
B. Rationalization involves providing logical-sounding explanations to justify behavior that might otherwise be unacceptable. The client's explanation that their recent behavior is due to the loss of their job is an example of rationalization.
C. Repression involves blocking out or pushing away unacceptable thoughts or feelings from conscious awareness.
D. Sublimation involves channeling unacceptable impulses or emotions into socially acceptable activities or behaviors.

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A nurse is caring for a client who is receiving prazosin. The client's blood pressure is 100/60 mm Hg. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is caring for a client who is participating in a therapy session for anger management. The client states that their recent behavior is due to the loss of their job. The nurse should identify that the client is using which of the following defense mechanisms?

Correct Answer is B

Explanation

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