A nurse is reviewing data for a client who receives clonidine daily. Which of the following findings indicates the nurse should withhold the next dose?
Heart rate 110/min
Urine output 600 mL in 8 hr
Blood pressure 88/50 mm Hg
Blood glucose 70 mg/Dl
The Correct Answer is C
A. Clonidine primarily affects blood pressure and not heart rate.
B. Clonidine does not directly affect urine output.
C. Clonidine is an antihypertensive medication, and a low blood pressure reading indicates the need to withhold the next dose.
D. Clonidine does not typically affect blood glucose levels.
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Related Questions
Correct Answer is B
Explanation
A. While staying hydrated is important, there is no specific requirement for a liter of fluid with fexofenadine.
B. Fexofenadine can cause drowsiness in some individuals, so caution with activities requiring mental alertness, such as driving, is advised.
C. Fexofenadine should be taken with water, not juice, as juice may affect its absorption.
D. Magnesium-containing antacids may decrease the absorption of fexofenadine and should be avoided.
Correct Answer is A
Explanation
A. The first action is to place the client in a supine position. The client might experience a first-dose phenomenon, which is a sudden and severe drop in blood pressure within 1 to 3 hours of taking the medication. The nurse should place the client in a supine position to prevent orthostatic hypotension and syncope.
B. This should be done after placing the client in a supine position to assess for postural changes.
C. This should be done after placing the client in a supine position to assess for postural changes.
D. The nurse should not administer a saline bolus unless prescribed by the provider, as this could cause fluid overload and worsen heart failure.
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