An elderly patient who lives in a skilled nursing facility and who likes to walk is taking a medication that lowers blood pressure by dilating blood vessels. The best nursing action for this patient is to:

Suggest total bed rest.

Assist the patient when ambulating in the hall.

Monitor intake and output.

Instruct the resident to rise slowly when getting out of bed or a chair.

Answer and Explanation

The Correct Answer is D

Choice A reason: Bed rest increases clot risk and deconditioning; vasodilators lower pressure, but mobility is beneficial unless contraindicated, making this overly restrictive.

Choice B reason: Assisting ambulation helps, but it’s less proactive; it doesn’t address orthostatic hypotension risks at initiation of movement, where falls are most likely.

Choice C reason: Monitoring intake/output tracks fluid status, not directly addressing vasodilation’s hypotensive effects during position changes, missing the primary safety concern.

Choice D reason: Rising slowly counters orthostatic hypotension from vasodilation; it allows autoregulation to stabilize pressure, reducing fall risk in an active elderly patient.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: Pharmacy technicians are not authorized to administer medications. Their scope involves preparation and dispensing under supervision, ensuring safety and compliance.

Choice B reason: Safe practice standards dictate that the preparing nurse administers the medications to ensure accuracy and accountability, minimizing potential errors.

Choice C reason: Delegating to the head nurse violates medication administration protocols, as accountability rests with the nurse who prepared the medications.

Choice D reason: Allowing other licensed nurses to distribute medications increases the risk of errors due to lack of firsthand knowledge of preparation specifics.

A. The right patient B. The right drug C. The right color of med D. The right route E. The right time

Correct Answer is A

Explanation

Choice A reason: Right patient ensures identity verification; errors here cause harm via misadministration, as drugs affect individuals differently based on physiology and condition.

Choice B reason: Right drug prevents wrong medication errors; each drug’s pharmacokinetics targets specific issues, and mistakes disrupt therapy or cause adverse reactions.

Choice C reason: Color isn’t a standard right; it’s not a reliable identifier, as formulations vary, and clinical safety relies on name, dose, and route, not appearance.

Choice D reason: Right route ensures correct delivery (e.g., IV vs. oral); wrong routes alter bioavailability and onset, risking toxicity or inefficacy per drug design.

Choice E reason: Right time optimizes efficacy; timing aligns with drug half-life and patient needs, preventing under- or overdosing from improper administration schedules.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

An elderly patient who lives in a skilled nursing facility and who likes to walk is taking a medication that lowers blood pressure by dilating blood vessels. The best nursing action for this patient is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has prepared the 9:00 AM client medications for administration but is called off the unit briefly. Who can distribute these medications to clients?

Correct Answer is B

Explanation

What are the concepts considered to be rights of medication administration? (Select all that apply.)

Correct Answer is A

Explanation

What is the generic name on the medication? (No medication specified; assuming a common example from context, e.g., Zestril.)

The patient prefers to take an herbal supplement rather than the prescription medication ordered by the physician. Which is the most appropriate response of the nurse?

Which nursing action is appropriate when pulling the plunger of the syringe back prior to administering medication and blood is aspirated in the syringe?

After receiving Nembutal PO at bedtime, a client is wide awake all night instead of going to sleep. What kind of adverse reaction to a drug does this situation represent?

What should the nurse use when placing medication into a patient’s vaginal canal?

A nurse has an order to administer a schedule II drug to a patient. When working with medications of this type, the responsibility of the nurse is to:

When the nurse brings pills to the patient, the patient is unable to hold the paper cup with the medications. What should the nurse do?

The nurse explains to a client that the drug administration of a medication is to be placed between the gum and jaw. By which route is the nurse administering this medication?