The nurse is teaching an older adult with a new prescription for hydrochlorothiazide as a second anti-hypertensive drug. What safety precaution will the nurse include in the teaching?

"Weigh yourself after breakfast every morning."

"Check your blood pressure anytime during the day."

"Call the primary care provider if you experience any seizures."

"Exercise at least twice a week"

Answer and Explanation

The Correct Answer is A

A. "Weigh yourself after breakfast every morning": Hydrochlorothiazide, a diuretic, can lead to fluid and electrolyte imbalances, including hyponatremia and hypokalemia. Monitoring weight daily, particularly after breakfast, helps detect any sudden weight changes that could indicate fluid retention or loss, allowing for timely intervention.

B. "Check your blood pressure anytime during the day": While monitoring blood pressure regularly is important for patients with hypertension, it is not a specific safety precaution related to taking hydrochlorothiazide. Blood pressure monitoring may be recommended, but it is not the primary safety precaution associated with this medication.

C. "Call the primary care provider if you experience any seizures": Seizures are not a common side effect of hydrochlorothiazide. Therefore, while it is important for patients to report any unusual symptoms to their healthcare provider, seizures are not specifically associated with this medication.

D. "Exercise at least twice a week": While regular exercise is beneficial for overall health, it is not a specific safety precaution related to taking hydrochlorothiazide. However, lifestyle modifications such as diet and exercise may complement medication therapy in managing hypertension.

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Correct Answer is C

Explanation

A. Perform doppler evaluation once daily: While Doppler evaluation is valuable for assessing blood flow and detecting vascular abnormalities, performing it only once daily may not provide adequate monitoring, especially during the critical early postoperative period. More frequent assessments are necessary to ensure optimal graft function and to promptly identify any complications.

B. Assess for compartment syndrome every 2 hours: While assessing for compartment syndrome is important, performing assessments every 2 hours may not be necessary unless specific risk factors or clinical indications are present. Continuous monitoring for signs and symptoms of compartment syndrome is essential, but the frequency of assessment should be based on the patient's condition and the surgeon's orders.

C. Assess pulse of affected extremity every 15 minutes until stable: After popliteal bypass graft surgery, assessing the pulse of the affected extremity every 15 minutes until stable is crucial. Frequent pulse checks help monitor graft patency and perfusion to detect early signs of graft failure or ischemia. This high-frequency assessment allows for prompt identification of vascular compromise and timely intervention to prevent graft thrombosis or occlusion. Once the pulse is stable and adequate perfusion is confirmed, the frequency of pulse checks can be adjusted according to the patient's condition and clinical guidelines.

D. Palpate the affected leg for pain every shift: Palpating the affected leg for pain every shift is an important component of postoperative assessment. However, relying solely on pain assessment once per shift may not provide timely detection of complications or changes in the patient's condition, especially during the immediate postoperative period when close monitoring is necessary. Frequent and ongoing assessment of pain, along with other vital signs and clinical indicators, is essential for comprehensive postoperative care.

Correct Answer is ["200"]

Explanation

Infusion rate (mL/hr) = 100/30 × 60

Infusion rate (mL/hr) = 100/30 × 60 = 200

Therefore, the nurse should set the IV pump to deliver 200 mL/hr.

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The nurse is teaching an older adult with a new prescription for hydrochlorothiazide as a second anti-hypertensive drug. What safety precaution will the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient after a popliteal bypass graft surgery. Which assessments will the nurse perform during the first postoperative day?

Correct Answer is C

Explanation

Correct Answer is ["200"]

Explanation

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