The nurse administers the first dose of prazosin 1 mg PO to a client. Which nursing action is most appropriate following the administration of this medication?
Encourage oral fluids.
Record the client's weight
Take a pulse oximetry reading
Place the call bell in reach of the client
The Correct Answer is D
A. Encourage oral fluids: While hydration is important, it is not the most immediate concern following the administration of prazosin.
B. Record the client's weight: Weight monitoring is not specifically indicated after the initial dose of prazosin and is not a priority action in this context.
C. Take a pulse oximetry reading: While monitoring oxygen saturation is important in many situations, it is not directly related to the administration of prazosin, which primarily affects blood pressure.
D. Place the call bell in reach of the client: This is the most appropriate action. Prazosin can cause orthostatic hypotension, particularly after the first dose, leading to dizziness or fainting. Ensuring that the call bell is within reach allows the client to request help if they feel lightheaded or need assistance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Monitor serum sodium levels: While serum sodium levels can provide some information about fluid balance, they are not the most direct indicator of the effectiveness of furosemide
in reducing peripheral edema.
B. Auscultate breath sounds: This is important for monitoring potential fluid overload or pulmonary complications, but it does not directly assess the reduction of peripheral edema, which is the primary concern with furosemide administration.
C. Perform daily weights: This method is the best way to evaluate the client's response to furosemide. Daily weights can provide a clear indication of fluid status and changes in peripheral edema, as a decrease in weight typically reflects effective diuresis.
D. Take the blood pressure: While monitoring blood pressure is important, especially in clients receiving diuretics, it does not specifically measure the effectiveness of the medication in addressing peripheral edema.
Correct Answer is B
Explanation
A) Beets: While beets are nutritious and contain some iron, they are not the best source of iron for someone with iron-deficiency anemia. They are more known for their folate content.
B) Seafood: Seafood, particularly shellfish like clams, oysters, and mussels, is an excellent source of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant-based foods. Including seafood in the diet can help improve iron levels.
C) Eggs: Eggs contain some iron, but they also contain substances that can inhibit iron absorption. While they can be part of a balanced diet, they are not the most effective food for increasing iron intake.
D) Bran: Bran is high in fiber and can be beneficial for digestive health, but it contains phytates that can inhibit iron absorption. It is not recommended as a primary source of iron for someone with iron-deficiency anemia.
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