An older patient has been prescribed a potassium-sparing diuretic and a beta-blocker for hypertension. Which action should be a priority for the nurse?
A) Monitor the patient for constipation
B) Closely monitor the patient's electrolyte levels
C) Ensure the patient does not change position quickly to prevent a fall
D) Assess the patient for changes in level of consciousness and cognition
C
Feedback:
Antihypertensive therapy, especially when first initiated or changed, carries a risk of orthostatic hypotension and subsequent falls. Although electrolytes would be monitored, the potassium-sparing nature of the diuretic makes this less urgent than ensuring safety. Cognitive changes and constipation are less likely side effects of diuretic and beta-blocker therapy.
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