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
Rationale: 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.

Nursing

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The nurse is assisting with caloric testing on a patient who is persistently unconscious. Which response would the nurse expect if severe brainstem injury exists?

1. No response 2. Right beating nystagmus to cold water introduced in the right ear 3. Left beating nystagmus to introduction of warm water in the left ear 4. Nystagmus in both eyes with introduction of warm or cold water in either ear

Nursing

The dosage unit for this drug is tablets

Indicate whether the statement is true or false

Nursing

A nurse is feeding a patient. Which of the following statements would help a person maintain dignity while being fed?

A) "I am going to feed you your cereal first and then your eggs." B) "I wish I had more time so I could feed you all of your meal." C) "I know you don't like me to feed you, but you need to eat." D) "What part of your dinner would you like to eat first?"

Nursing

The mother observes traces of blood on the diaper of her newborn daughter and calls this to the attention of the nurse. The nurse's best reply would be which of the following?

a. "I suspect this is from a urinary tract infection, a condition common in newborns when the bladder is not completely developed." b. "This is probably caused by the baby not getting maternal hormones from the placenta. It will probably go away soon." c. "This is probably from the trauma of the birth and will disappear in time." d. "This is some placental blood we missed when bathing the baby at birth."

Nursing