When treating hypertensive emergencies, the nurse identifies the most appropriate route of administration for antihypertensive agents as being which of the following?
Continuous IV infusion
Sublingual
Intramuscular
Oral
The Correct Answer is A
Rationale:
A. Continuous IV infusion is the most appropriate route for treating hypertensive emergencies because it allows for rapid and controlled reduction of blood pressure, which is crucial in preventing target organ damage.
B. Sublingual administration is not recommended in hypertensive emergencies because it does not allow for the precise control needed in these situations.
C. Intramuscular administration is generally not used for antihypertensive agents in emergencies because it does not provide the rapid and adjustable response that IV infusion does.
D. Oral administration is too slow in onset for hypertensive emergencies and is not appropriate when immediate blood pressure control is necessary.
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Correct Answer is D
Explanation
Rationale:
A. This response is dismissive of the patient's concerns and does not address the underlying issue of the patient's misunderstanding of cardiac rehabilitation.
B. This response defers to the physician without providing the patient with helpful information.
C. While true, this statement does not address the patient’s concern about the irreversibility of heart damage.
D. This response directly addresses the patient’s concern by explaining the purpose of cardiac rehabilitation, which is to safely increase activity levels and improve overall heart health, even though the heart damage cannot be undone.
Correct Answer is D
Explanation
Rationale:
A. Documentation of waveform values is important but does not directly enhance patient safety during monitoring.
B. Limiting the pressure tubing length can help maintain accuracy, but it is not the primary safety measure.
C. Zero referencing is crucial for accurate readings, but it must be done in conjunction with ensuring alarms are active.
D. Ensuring that alarm limits are turned on and appropriately set is the best safety measure to immediately alert the nurse to any critical changes in the patient's status.