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A client began taking hydrochlorothiazide 1 week ago and is reporting occasional dizziness when standing up quickly from sitting or lying. What is the nurse's best action?

A.

Arrange for the client's potassium levels to be assessed as soon as possible

B.

Teach the client about the blood pressure effects of the medication and relevant safety measures.

C.

Educate the client about the need for bed rest until the body adjusts to the new medication.

D.

Tell the client to withhold the medication until the client can be assessed by the primary health care provider.

Answer and Explanation

The Correct Answer is B

A. While assessing potassium levels is important for clients on diuretics, the immediate concern is the client's dizziness, which indicates a potential issue with blood pressure.  

 

B. Teaching the client about the potential for orthostatic hypotension caused by hydrochlorothiazide and instructing them on safety measures (e.g., standing up slowly) is crucial to prevent falls and address the dizziness.  

 

C. Bed rest is not necessary; the client should be educated about managing dizziness instead.  

 

D. Withholding the medication is not warranted unless directed by a healthcare provider; the focus should be on safety education.  


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Correct Answer is A

Explanation

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B. Furosemide is a diuretic and does not have a direct contraindication with erectile dysfunction medications, although it may contribute to electrolyte imbalances.

C. Verapamil is a calcium channel blocker that does not directly contraindicate the use of erectile dysfunction medications but should be monitored for potential interactions affecting heart rate and blood pressure.

D. Acetaminophen is a pain reliever and does not pose a contraindication for erectile dysfunction medications.

Correct Answer is C

Explanation

A. Constricted pupils are not an expected response to isoproterenol, which generally causes dilation of the pupils due to sympathetic stimulation.

B. Warm, dry skin is not a direct indicator of the effectiveness of isoproterenol; it could result from various factors unrelated to the medication's action.

C. Increased heart rate indicates that isoproterenol, which is a beta-agonist, is effectively stimulating the beta-adrenergic receptors, leading to increased cardiac output and heart rate.

D. Decreased urine output is not a sign of effectiveness and could indicate adverse effects such as reduced renal perfusion.

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