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. Hypertension is not a side effect but a condition that these medications are used to treat. ACE inhibitors and ARBs are primarily used to manage hypertension.
B. Both ACE inhibitors and ARBs are used to treat heart failure, not just ACE inhibitors.
C. Both ARBs and ACE inhibitors can affect potassium levels, and ACE inhibitors can impact white blood cell counts. Monitoring is required.
D. Both ARBs and ACE inhibitors are contraindicated during pregnancy due to potential risks to the fetus, such as renal damage and other complications.
Correct Answer is B
Explanation
A. Enoxaparin is often used to treat or prevent DVT, so this would not prevent administration.
B. A bleeding disorder is a contraindication for enoxaparin due to the increased risk of hemorrhage.
C. A heart rate of 60 is within normal limits and does not contraindicate enoxaparin use.
D. Enoxaparin is used to treat and prevent PE, so this condition would not prevent its administration.
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