A patient receiving an ACE inhibitor has a blood pressure of 85/50 mm Hg. The patient is asymptomatic otherwise. What is the best nursing action?
A) Hold the medication because the blood pressure is too low.
B) Recheck the blood pressure in 1 hour.
C) Administer the medication because the patient is asymptomatic.
D) Reschedule time of medication administration to hour of sleep.
C
You might also like to view...
A client has been admitted to the psychiatric hospital for assessment and evaluation. What behavior
might indicate that the client has a mental disorder? The client a. is able to see the difference between the "as if" and the "for real.". b. describes her mood as consistently sad, discouraged, down in the dumps, and hopeless. c. responds to the rules, routines, and customs of any group to which she belongs. d. can perform tasks she attempts within the limits set by her abilities.
The home health nurse cautions the mother of a 4-year-old child with chickenpox (varicella) that she should not administer aspirin for temperature elevations because aspirin can cause children with chickenpox to:
a. Have seizures b. Experience bleeding episodes c. Develop Reye syndrome d. Lose their hearing
To avoid a situation where someone is tempted to drive after drinking, you could:
A. Call ahead for a taxi to pick up you or your friends B. Get a sober designated driver to drive everyone home C. Check to see if your school has a safe ride program D. All of the above
An elderly patient with dementia has a nursing diagnosis of self-care deficit: bathing, hy-giene. She lives alone and the nursing assessment proves reason to believe she has forgot-ten how to perform hygiene and bathing activities
Which intervention is most appropriate for this patient? a. Bathe daily with reminders. b. Bathe twice weekly with assistance. c. Patient will be provided with in-home nursing care. d. Patient will be transferred to an assisted living facility.