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 A
Explanation
The correct answer is A. Protect skin from sun exposure.
Choice A rationale
Tetracycline is a type of antibiotic that can make your skin more sensitive to the sun. Sun protection is important to prevent sunburn and other skin damage.
Choice B rationale
There is no specific interaction between tetracycline and grapefruit juice. However, it’s always a good idea to check with a healthcare provider about potential food-drug interactions.
Choice C rationale
The use of tampons during menses is not directly related to the use of tetracycline. It’s a personal choice based on comfort and convenience.
Correct Answer is C
Explanation
The correct answer is choice C.
Choice A rationale:
Wearing protective clothing when in direct sunlight is not specifically related to taking alendronate. This advice is more relevant for medications that increase photosensitivity, which is not a known side effect of alendronate.
Choice B rationale:
Sucking on hard candy to increase oral secretions is not necessary for patients taking alendronate. This advice is typically given to patients experiencing dry mouth, which is not a common side effect of alendronate.
Choice C rationale:
Drinking 8 ounces (240 mL) of water with each dose of alendronate is crucial. This helps ensure the medication reaches the stomach quickly and reduces the risk of esophageal irritation or ulcers.
Choice D rationale:
Laying supine for 30 minutes after taking alendronate is incorrect. Patients should remain upright (sitting or standing) for at least 30 minutes after taking the medication to prevent esophageal irritation and ensure the medication reaches the stomach properly.
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