The nurse notes that a client has been receiving hydromorphone every six hours for four days. Which assessment is most important for the nurse to complete?
Count the apical and radial pulses simultaneously.
Observe for edema around the ankles.
Auscultate the client’s bowel sounds.
Measure the client’s capillary glucose level.
The Correct Answer is C
Choice A reason:
Counting the apical and radial pulses simultaneously can help detect pulse deficits, which may indicate cardiac issues. However, this is not the most critical assessment for a client receiving hydromorphone.
Choice B reason:
Observing for edema around the ankles is important for assessing fluid retention and potential heart failure. While relevant, it is not the primary concern for a client on hydromorphone.
Choice C reason:
Auscultating the client’s bowel sounds is crucial because hydromorphone, like other opioids, can cause constipation and potentially lead to paralytic ileus, a serious condition where the intestines stop moving food through. Monitoring bowel sounds helps detect early signs of this complication.
Choice D reason:
Measuring the client’s capillary glucose level is important for diabetic patients or those at risk of hyperglycemia. However, it is not directly related to the administration of hydromorphone.
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View Related questions
Correct Answer is D
Explanation
Choice A Reason:
Accommodation refers to the eye’s ability to change the shape of the lens to focus on objects at different distances. Mydriatic eye drops primarily affect the muscles that control the pupil size, not the lens. While accommodation might be slightly affected due to the dilation, it is not the primary function impacted by mydriatics.
Choice B Reason:
Refraction is the bending of light as it passes through the lens of the eye to focus on the retina. Mydriatic eye drops do not directly affect the refractive properties of the eye. The primary purpose of these drops is to dilate the pupil, which does not significantly alter the eye’s refractive ability.
Choice C Reason:
Eye convergence is the simultaneous inward movement of both eyes toward each other to maintain single binocular vision when viewing an object. Mydriatic eye drops do not directly interfere with the muscles responsible for eye convergence. Therefore, this function remains largely unaffected during the therapeutic period.
Choice D Reason:
Pupillary constriction is the narrowing of the pupil, which is controlled by the sphincter pupillae muscle. Mydriatic eye drops cause the pupil to dilate by relaxing this muscle, thereby preventing pupillary constriction. This is the primary function that will not respond during the therapeutic period after administration of mydriatic eye drops.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A reason:
Lisinopril is an ACE inhibitor that is commonly prescribed for once-daily dosing. It is effective in managing hypertension and heart failure with a single daily dose, making it convenient for patients who may have difficulty remembering multiple doses12.
Choice B reason:
Quinapril can also be administered once daily. It is used to treat hypertension and heart failure, and its long half-life allows for effective blood pressure control with a single daily dose.
Choice C reason:
Ramipril is another ACE inhibitor that can be given once daily. It is used for hypertension, heart failure, and to reduce the risk of cardiovascular events. Its pharmacokinetics support once-daily dosing, which helps improve patient adherence.
Choice D reason:
Captopril is typically not given once daily due to its shorter half-life. It usually requires multiple doses throughout the day to maintain effective blood pressure control.
Choice E reason:
Trandolapril is an ACE inhibitor that can be administered once daily. It is used for hypertension and heart failure, and its long duration of action supports once-daily dosing.