A nursing responsibility for a patient receiving an antihypertensive medication is to:

Take the patient’s blood pressure every 4 hr. in the same arm in supine position

Teach the patient to stand or sit up slowly to avoid dizziness or fainting

Discontinue the patient’s medication if the blood pressure decreases

Increase the dose if the patient experiences tachycardia

Answer and Explanation

The Correct Answer is B

Choice A reason: BP every 4 hours isn’t universal; slow rising is key. This errors per nursing standards. It’s universally distinct, not the primary responsibility.

Choice B reason: Teaching slow position changes prevents antihypertensive-induced dizziness. This fits nursing pharmacology standards. It’s universally applied, distinctly critical for safety.

Choice C reason: Stopping meds needs orders; slow rising manages drops. This misaligns with nursing pharmacology. It’s universally distinct, errors in protocol.

Choice D reason: Tachycardia doesn’t justify dose increase; slow rising helps. This errors per nursing standards. It’s universally distinct, off responsibility mark.

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Correct Answer is C

Explanation

Choice A reason: Antihistamines block histamine, not raise HR or BP. Epinephrine fits emergency needs. This errors per nursing pharmacology. It’s universally distinct, lacking stimulatory emergency effects.

Choice B reason: Sedatives reduce activity, not increase HR or BP. Epinephrine acts oppositely. This choice reverses nursing standards. It’s universally distinct, unsuitable for emergency stimulation.

Choice C reason: Epinephrine boosts HR, BP, and dilates bronchi in emergencies. This matches nursing pharmacology standards. It’s universally applied, distinctly effective for acute life-saving interventions.

Choice D reason: Hormones vary; epinephrine specifically meets all criteria emergently. This lacks precision per nursing standards. It’s universally distinct, too vague for the question’s intent.

A. Hold the foil-wrapped suppository under cold water for a short time B. Do not administer the suppository C. Insert the suppository even if it is soft D. Return it to the pharmacy for replacement

Correct Answer is A

Explanation

Choice A reason: Cooling a soft suppository in foil under cold water firms it for insertion. This is practical, per nursing pharmacology. It’s universally applied, distinctly effective for administration.

Choice B reason: Not administering skips needed therapy; cooling resolves softness safely. This overreacts, per nursing standards. It’s universally distinct, errors in patient care continuity.

Choice C reason: Inserting a soft suppository reduces efficacy and comfort; cooling is better. This risks failure, per nursing pharmacology. It’s universally distinct, a poor choice.

Choice D reason: Returning to pharmacy delays treatment; cooling is faster and sufficient. This errors, per nursing standards. It’s universally distinct, less practical than cooling.

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A nursing responsibility for a patient receiving an antihypertensive medication is to:

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Naxlex Comprehensive Predictor Exams

An emergency drug which increases heart rate, raises blood pressure, and dilates bronchi is:

Correct Answer is C

Explanation

If a suppository becomes soft, which action should the nurse take?

Correct Answer is A

Explanation

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