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 A

Explanation

A. Place the client in a room that is ventilated to the outside: Clients with active tuberculosis should be placed in negative pressure rooms with air exhausted directly to the outside to prevent the spread of airborne pathogens.
B. Wear a gown when delivering the client's food tray: Gowns are not typically necessary for routine care of clients with tuberculosis unless there is potential for contact with respiratory secretions.
C. Prohibit visitors while the client's infection is active: Visitors should be educated about tuberculosis precautions and provided with appropriate personal protective equipment if necessary, but prohibiting visitors may not be necessary.
D. Administer a tuberculin skin test prior to discharge: Tuberculin skin testing is used for screening and diagnosis of tuberculosis infection, not for management of active tuberculosis.

A. A client who has heart failure and is incontinent of urine B. A client who has COPD and dementia and was agitated during the night shift C. A client who had a hip arthroplasty 10 days ago and reports pain with ambulation D. A client who had a cerebrovascular accident 6 months ago and reports constipation

Correct Answer is A

Explanation

A. The client who has heart failure and is incontinent of urine requires immediate attention as urinary incontinence can be indicative of fluid overload, a common complication in heart failure. Prompt assessment and intervention are necessary to prevent worsening of the client's condition.
B. Agitation in a client with COPD and dementia, while concerning, may not require immediate intervention unless it poses a risk to the client or others. It should be addressed as soon as possible, but it may not be the priority over the client with acute urinary incontinence.
C. Pain with ambulation in a client who had a hip arthroplasty 10 days ago is significant and requires attention, but it is not as urgent as addressing a potential fluid overload situation in the client with heart failure.
D. Constipation in a client who had a cerebrovascular accident 6 months ago is a chronic issue that may not require immediate intervention unless it is causing distress or complications.

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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?

Nursing Test Bank

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