The patient is a 66-year-old male with a history of type 2 diabetes and hypertension. He is on metoprolol, hydrochlorothiazide, and metformin.
Recently, he has been having trouble controlling his blood pressure and has also experienced a severe headache. He was directly admitted to the hospital from his primary care physician’s office.
Which of the following assessment findings indicates a therapeutic result of the minoxidil administered?
Mouth dryness
Dizziness while sitting up
Blood glucose 218 mg/dl
Pain rated at 1/10
The Correct Answer is A
Choice A rationale
Minoxidil is an antihypertensive vasodilating agent used for resistant hypertension. It reduces peripheral resistance and produces a fall in blood pressure. One of the side effects of minoxidil can be mouth dryness. Therefore, mouth dryness can indicate that the minoxidil is having its intended therapeutic effect.
Choice B rationale
Dizziness while sitting up is not a therapeutic result of minoxidil. It could be a side effect or a symptom of orthostatic hypotension, which is a form of low blood pressure.
Choice C rationale
Blood glucose level of 218 mg/dl is not related to the therapeutic effect of minoxidil. Minoxidil is not used to control blood glucose levels. It’s used primarily to treat high blood pressure.
Choice D rationale
Pain rated at 1/10 is not a direct therapeutic result of minoxidil. Minoxidil is not an analgesic medication and does not directly affect pain levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Headaches are a common side effect of many medications and do not necessarily indicate a serious problem. However, if the headache is severe or persistent, it should be reported to the healthcare provider.
Choice B rationale
Difficulty sleeping is not typically associated with propranolol. While it can occur, it is not a common side effect and is not usually a cause for concern.
Choice C rationale
Palpitations, or a feeling of a fast, fluttering, or pounding heart, can be a sign of an irregular heartbeat, which can be a serious side effect of propranolol. This is because propranolol is a beta-blocker, a type of drug that can slow heart rate and reduce the force of heart contractions. Therefore, if a patient reports palpitations, the healthcare provider should be notified before the next dose of propranolol is given.
Choice D rationale
Nausea is a common side effect of many medications, including propranolol. However, it is usually mild and temporary. If the nausea is severe, persistent, or accompanied by other symptoms such as vomiting, the healthcare provider should be notified.
Correct Answer is A
Explanation
Choice A rationale
Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and reduce
inflammation. It is not typically part of the H. pylori treatment regimen.
Choice B rationale
Famotidine is a type of medication called a proton pump inhibitor (PPI). PPIs are often used in
the treatment of H. pylori because they reduce the production of stomach acid, which makes
the environment more conducive for antibiotics to work.
Choice C rationale
Loperamide is a medication used to treat diarrhea. It is not typically part of the H. pylori
treatment regimen.
Choice D rationale
Ipratropium is a medication used to treat bronchospasm associated with COPD and is not
related to H. pylori treatment.
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