The nurse is developing a teaching plan for an elderly patient who will begin taking an antihypertensive drug that causes dizziness and orthostatic hypotension. Which nursing diagnosis is appropriate for this patient?
Deficient knowledge related to drug side effects
Ineffective health maintenance related to age
Readiness for enhanced knowledge related to medication side effects
Risk for injury related to side effects of the medication
The Correct Answer is D
A. Deficient knowledge may be a concern, but the primary focus here is on the safety risk associated with the side effects of the medication, particularly dizziness and orthostatic hypotension, which increase the risk of falls or injury.
B. Ineffective health maintenance is not specific to the medication side effects and does not directly address the patient's safety risk due to the medication.
C. Readiness for enhanced knowledge is more appropriate when the patient is already familiar with their condition and medication and is ready to learn more. This is not the case here, as the focus is on preventing harm from side effects.
D. Risk for injury is the most appropriate nursing diagnosis. Dizziness and orthostatic hypotension increase the risk of falls, which can lead to injury, making this the most relevant concern in this scenario.
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Related Questions
Correct Answer is C
Explanation
a) Encouraging increased fluid intake is not always appropriate for a patient on a thiazide diuretic, as these drugs promote fluid loss. Excess fluid intake may not be beneficial unless there are signs of dehydration.
b) Increasing activity and exercise can be beneficial for overall health, but the priority is ensuring safety due to the risk of orthostatic hypotension and falls.
c) Initiating a fall risk protocol is crucial because thiazide diuretics can cause hypotension, dizziness, and electrolyte imbalances, all of which increase the risk of falls, particularly in older adults.
d) Providing a low potassium diet is inappropriate, as thiazide diuretics can lead to hypokalemia (low potassium levels), so monitoring and possibly increasing potassium intake may be necessary.
Correct Answer is D
Explanation
a) Phase I studies focus on assessing the safety, dosing, and side effects of a drug in healthy volunteers, not its clinical effectiveness or potential new uses.
b) Phase II studies evaluate the drug's effectiveness and safety in a small group of patients with the targeted condition but do not focus on potential new uses.
c) Phase III studies are large-scale trials conducted to confirm the drug's effectiveness and safety before approval but do not typically involve studying new uses of the drug.
d) Phase IV studies occur after a drug has been approved and marketed. These studies, often called post-marketing surveillance, evaluate the drug's effectiveness and safety in the general population and investigate new potential uses or long-term effects.
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