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.

A. This disease requires an avoidance of caffeine. B. This disease requires stockings to be worn at all times. C. This disease requires a cold compress for pain relief. D. The disease requires legs to be elevated above the heart at all times.

Correct Answer is B

Explanation

Rationale:

A. Avoidance of caffeine is not specifically indicated for peripheral arterial disease. While caffeine can temporarily constrict blood vessels, it is not a primary treatment for this condition.

B. Compression stockings can improve blood flow in peripheral arterial disease by providing external pressure to the legs, helping to reduce swelling and improve circulation.

C. Cold compresses may provide temporary relief for pain associated with peripheral arterial disease, but they are not a primary treatment and do not address the underlying circulation issues.

D. Elevating the legs above the heart can sometimes be helpful for improving circulation, but it is not a practical or sustainable treatment for peripheral arterial disease.

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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

A nurse is caring for a client who has a history of peripheral arterial disease and requires education on treatment. Which of the following statements should the nurse utilize for the teaching?

Correct Answer is B

Explanation

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