The physician orders Zestril 15 mg po daily for hypertension. The medication is supplied in 5-mg tablets. How many tablets will the nurse administer?
1 tablet
2 tablets
3 tablets
4 tablets
The Correct Answer is C
Choice A reason: One 5-mg tablet provides only 5 mg, far below the 15 mg ordered; this underdose fails to control hypertension effectively, risking cardiovascular complications like stroke or heart failure.
Choice B reason: Two tablets yield 10 mg, still short of 15 mg; this insufficient dose wouldn’t achieve therapeutic blood pressure reduction, leaving the patient at risk for hypertensive damage.
Choice C reason: Three 5-mg tablets equal 15 mg, matching the order precisely; this dose effectively inhibits angiotensin-converting enzyme, lowering blood pressure to a therapeutic range safely.
Choice D reason: Four tablets deliver 20 mg, exceeding the order; this overdose could cause hypotension, dizziness, or renal impairment due to excessive ACE inhibition beyond therapeutic needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Classifications like “analgesics” pair effects (pain relief) with symptoms (pain); this pharmacological basis groups drugs by therapeutic purpose and mechanism.
Choice B reason: Dosage varies within classes; it’s not a defining trait, as classifications focus on action (e.g., beta-blockers), not specific amounts administered.
Choice C reason: Tolerance is patient-specific, not a classification criterion; drugs are grouped by effect and symptom relief, not individual response variations.
Choice D reason: Nursing implications guide administration, not classification; categories stem from pharmacology (e.g., antihypertensives), not care protocols or implications.
Correct Answer is C
Explanation
Choice A reason: Informing the patient is secondary; it addresses communication but not immediate safety risks like needlestick injury, which is a higher priority post-injection per occupational health standards.
Choice B reason: Assessing comfort is important but not urgent; pain evaluation can wait after securing the needle, as safety from sharps exposure outweighs immediate patient feedback in priority.
Choice C reason: Engaging the safety sheath prevents needlestick injuries; it’s the priority action to protect the nurse and others from bloodborne pathogens, aligning with universal precautions post-injection.
Choice D reason: Checking for bleeding is routine but not critical; minor oozing is common and manageable later, while needle safety is an immediate concern to prevent infection risks.
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