A nurse is caring for a client who received verapamil 1 hr ago and now has a blood pressure of 80/54 mm Hg. Which of the following actions should the nurse plan to take?
Administer a bolus of IV fluids.
Administer a dose of IV diphenhydramine.
Administer supplemental oxygen.
Position the client's legs in a dependent position.
The Correct Answer is A
A. Hypotension following verapamil, a calcium channel blocker, can be managed with IV fluid boluses to support blood pressure.
B. Diphenhydramine treats allergic reactions, not hypotension.
C. Oxygen may be given, but fluids are the priority to restore BP.
D. Positioning legs may help slightly, but fluids directly address the cause.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Osimvastatin is an oral medication used to lower cholesterol and is not administered parenterally.
B. Hydrochlorothiazide is a diuretic typically administered orally, not parenterally.
C. Captopril is an ACE inhibitor usually given orally.
D. Fondaparinux is an anticoagulant that is typically administered by subcutaneous injection, making it the correct choice for parenteral administration.
Correct Answer is D
Explanation
A. Rifampin can discolor body fluids, including tears, which may stain soft contact lenses.
B. Rifampin is typically taken once daily but not necessarily at bedtime unless directed.
C. Rifampin can decrease the effectiveness of oral contraceptives; clients should use additional contraception.
D. Orange discoloration of urine and other body fluids is a harmless but expected effect of rifampin.
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