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

Answer and Explanation

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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Correct Answer is ["C","D"]

Explanation

A. A generic drug name is not a registered trademark. It is a non-proprietary name, and a trademark is specific to a brand-name drug.

B. Generic drug names are not capitalized. Brand names are capitalized, but generic names are written in lowercase.

C. The generic name often reflects the drug’s chemical structure or its pharmacological classification, which helps identify the active ingredient.

D. Generic names are non-proprietary, meaning they are not owned by any one company and can be used by multiple manufacturers once the patent for the brand-name drug expires.

A. "I should insert the needle and inject the medication without aspirating for blood." B. "I should put firm pressure on the injection site to decrease the risk for bleeding." C. "I will insert the needle at a 10-degree angle when injecting." D. "The subcutaneous route is used because absorption is faster this way."

Correct Answer is A

Explanation

A. When administering subcutaneous heparin, aspiration should be avoided because it can cause tissue damage and increase the risk of hematoma formation. This statement correctly reflects safe administration technique.

B. Firm pressure on the injection site is not recommended after heparin administration because it can increase the risk of bruising and bleeding. Instead, gentle pressure should be applied if necessary.

C. Subcutaneous injections should be given at a 45- to 90-degree angle, depending on the patient’s body mass. A 10-degree angle is too shallow and may result in improper medication delivery.

D. The subcutaneous route does not provide faster absorption than other routes such as intravenous or intramuscular. Instead, it allows for slow, steady absorption, which is desirable for anticoagulants like heparin.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is prescribed a medication and asks the nurse if the drug is available in a generic form. The nurse understands that a generic medication will have a name that (select all that apply):

Correct Answer is ["C","D"]

Explanation

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Correct Answer is A

Explanation

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