An older adult client being treated for atrial fibrillation and hypertension is about to receive her morning medications, including a diuretic blood pressure pill and a nitrate heart medicine. The nurse gathers the data regarding her blood pressure and discovers it to be considerably lower than it has been. What action should the nurse take first?
a. Withhold the medicine until speaking to the physician
b. Administer the medicine and recheck the client in an hour.
c. Verify the correct dosage and route.
d. Discontinue the medication order.
a. Withhold the medicine until speaking to the physician
FEEDBACK:
a. The nurse should withhold the medicine until she speaks to the physician.
b. Giving the medicine and rechecking the client in an hour could put the client at harm if the blood pressure falls too low. Both medicines have the potential to lower blood pressure. Try again.
c. Verifying the correct dosage and route is always a good idea; however, that is not the issue. Try again.
d. This is not a safe practice. Try again.
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