The nurse is administering the first dose of hydralazine to an older adult. The nurse should place the client on which of the following precautions?
Airborne Precautions
Fall precautions
Suicide Precautions
Standard Precautions
The Correct Answer is B
A. Airborne precautions are unnecessary for administering hydralazine, as it does not involve airborne transmission risks.
B. Hydralazine can cause orthostatic hypotension, especially in older adults, increasing the risk of falls. Therefore, fall precautions are essential.
C. Suicide precautions are not specifically indicated for hydralazine administration.
D. Standard precautions are always in place but do not address the specific risks associated with hydralazine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Adding another drug is premature; fluoxetine may need more time to show effects.
B. While some antidepressants may show effects in 1-3 weeks, fluoxetine typically requires a full 4-6 weeks to demonstrate its therapeutic effects.
C. Switching to another antidepressant after only one week may be premature; fluoxetine often takes longer to be effective.
D. Antidepressants like fluoxetine generally take 4-6 weeks to show significant effects, so patience is necessary for the medication to reach its full potential.
Correct Answer is C
Explanation
A. Blood pressure improvement is not the primary goal for nitroglycerin patches, which are more focused on managing angina.
B. While the medication is effective in reducing angina, complete elimination of anginal attacks is not always expected.
C. Effective management of angina would be indicated by the client’s ability to tolerate exercise without pain.
D. Headaches are a common side effect of nitroglycerin and do not necessarily indicate the effectiveness of the medication in managing angina.
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