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 A

Explanation

A. The FDA is responsible for regulating and ensuring the safety and efficacy of drugs, medical devices, and other health-related products. All medications must undergo rigorous scientific testing and approval processes overseen by the FDA before they can be marketed to the public.
B. The DEA regulates controlled substances and enforces laws related to drug abuse, but it does not control the scientific testing of medications.
C. The CDC focuses on public health and disease prevention, not the regulation or testing of medications.
D. The Joint Commission accredits healthcare organizations but does not directly oversee the scientific testing of medications.

A. Applying the medication liberally B. Cleaning skin with alcohol before applying C. Using sterile technique D. Wearing gloves

Correct Answer is D

Explanation

a) Applying the medication liberally is incorrect because the amount of medication applied should be based on the prescribed dose. Overapplication can lead to excessive absorption and potential systemic effects.

b) Cleaning the skin with alcohol before applying the medication is not always necessary and can cause irritation. Some medications require specific preparation, but alcohol is not a universal requirement.

c) Using sterile technique is generally unnecessary for topical medication application unless the skin is broken or there is an open wound requiring sterility.

d) Wearing gloves is essential to prevent medication absorption through the nurse’s skin and to reduce the risk of contamination or infection.

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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

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Explanation

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