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. This is the correct answer. Flushing the tubing with water after medication administration ensures that the medication reaches the stomach and prevents any residue from remaining in the tubing.
B. Clamping the tubing is not typically necessary after medication administration and may impede the flow of subsequent medications or enteral feedings.
C. While checking the patency of the tubing is important before medication administration, it is not specifically performed after administering the medication.
D. Aspirating the tubing after medication administration is not necessary and may disrupt the delivery of the medication into the stomach.

A. Puncture the heel to a depth of 4 mm to obtain the specimen. B. Withhold feeding prior to collecting the specimen. C. Apply a heat pack 5 to 10 min prior to the procedure. D. Elevate the newborn's foot for 15 min following the procedure.

Correct Answer is C

Explanation

Choice A Rationale: Puncturing the heel to a depth of 4 mm may be too deep and could cause injury to the newborn's foot. The recommended depth is usually less than 2 mm to avoid damaging underlying bone or tissues.
Choice B Rationale: Withholding feeding prior to collecting the specimen is not necessary and could cause unnecessary distress to the newborn. Feeding can help in soothing the infant and may even improve blood flow for the procedure.
Choice C Rationale: Applying a heat pack 5 to 10 minutes prior to the procedure is recommended as it helps to increase blood flow to the area, making the collection easier and potentially less painful for the newborn.
Choice D Rationale: Elevating the newborn's foot for 15 minutes following the procedure is not a standard recommendation. Post-procedure care typically involves applying gentle pressure to stop bleeding and then covering the puncture site with a bandage.

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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

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