A nurse is planning care for a client who takes several cardiac medications. The nurse should recognize which of the following medications places the client at risk for orthostatic hypotension? (select all that apply)

Clopidogrel

Clonidine

Hydralazine

Nifedipine

Gemfibrozil

Answer and Explanation

Correct Answer : B,C

Rationale:

A. Clopidogrel is an antiplatelet medication used to prevent blood clots, and it is not associated with orthostatic hypotension.

B. Clonidine is an antihypertensive medication that can cause orthostatic hypotension, particularly when changing positions from lying to standing.

C. Hydralazine is an antihypertensive medication that can cause orthostatic hypotension, particularly at higher doses.

D. Nifedipine, a calcium channel blocker, is generally associated with a risk of hypotension; however, it is not specifically indicated as a common cause of orthostatic hypotension.

E. Gemfibrozil is a lipid-lowering medication and is not associated with orthostatic hypotension.

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Correct Answer is C

Explanation

A. “I should not have any coffee 3 hours after the exam.” This statement is not accurate. The restriction related to coffee is usually before the test, not after.

B. “I should not exercise 3 hours after the exam.” This statement is incorrect. The restriction on exercise typically applies before the test, not after.

C. “I should not have beta blockers 3 hours before the exam.” Correct! Beta blockers can affect heart rate and blood pressure, so avoiding them before the test is essential.

D. “I should not smoke 3 hours before the exam.” While it’s generally advisable to avoid smoking before the test, this statement does not specifically address the cardiac stress test.

Correct Answer is ["30"]

Explanation

Infusion rate (gtt/min)= Volume to be infused (gtt)/ Time for infusion (min)

Total volume to be infused=Rate×Time

Total volume to be infused=150 mL/hr×10

Total volume to be infused=1500mL

Convert the total volume to be infused to drops using the drop factor:

Total volume in drops=Total volume to be infused×Drop factor Total volume in drops=1500 mL×12 gtt/mL

Total volume in drops=18000gtt

Divide the total volume in drops by the total time in minutes:

Infusion rate (gtt/min)=18000 gtt/ 10× 60 minInfusion rate (gtt/min)= 30gtt/min

So, the nurse should set the manual IV infusion to deliver 30 gtt/min.

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A nurse is planning care for a client who takes several cardiac medications. The nurse should recognize which of the following medications places the client at risk for orthostatic hypotension? (select all that apply)

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Naxlex Comprehensive Predictor Exams

A nurse is educating a client about the preparations needed before completing a cardiac stress test. Which of the following statements by the client would indicate the teaching was effective?

Correct Answer is C

Explanation

Correct Answer is ["30"]

Explanation

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