An older patient who is prescribed doxazosin mesylate (Cardura) has a lying blood pressure of 124/76 mm Hg and a sitting blood pressure of 100/64 mm Hg. What additional observation is needed for this patient?
1. Fall risk
2. Nausea and vomiting
3. Decreased urine output
4. Change in mental status
1. Fall risk
Explanation: 1. The patient's blood pressure values indicate postural hypotension. In addition, the patient is taking a medication that is an alpha blocker, which increases the risk for postural hypotension. Both factors would place the patient at a risk for falls.
2. Nausea and vomiting are unrelated to the blood pressure changes.
3. Urine output is unrelated to the blood pressure changes.
4. Mental status changes are unrelated to the blood pressure changes.
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