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 B

Explanation

Rationale:

A. Deep vein thrombosis typically presents with symptoms such as leg swelling, pain, warmth, and redness, but not necessarily with cramping leg pain that is relieved with rest.

B. Intermittent claudication is a classic symptom of peripheral arterial disease, characterized by cramping leg pain that occurs with exercise and is relieved with rest.

C. Venous insufficiency presents with symptoms such as leg swelling, varicose veins, and aching or heaviness in the legs, but not necessarily with cramping leg pain that is relieved with rest.

D. Neuropathy may cause various sensory symptoms in the legs, such as numbness, tingling, or burning, but it is not typically associated with cramping leg pain that is relieved with rest.

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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Correct Answer is ["30"]

Explanation

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