Practice Question
A nurse is preparing to administer a client's antihypertensive medication. When using, clinical judgment, which of the following findings indicates the nurse should further assess the client before administering medication?
Answer Choices:
Correct Answer:
The client reports dizziness when ambulating to the bathroom
Rationale:
Clinical judgment involves assessing the client's current condition before administering any medication, particularly antihypertensives, which lower blood pressure and can contribute to dizziness, lightheadedness, or orthostatic hypotension. Dizziness upon ambulation is a key sign that the client may already have low blood pressure, and administering the medication without further assessment could exacerbate the issue, potentially leading to falls or fainting. The nurse should check the client’s vital signs, particularly blood pressure and heart rate, and consider holding the medication if the blood pressure is already low or if the client is symptomatic.
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This question is from RN 110 Fundamentals~Exam 1 which contains 55 questions.
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Answer Choices:
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4