A nurse is about to administer the first dose of captopril to a client with hypertension. What nursing intervention would be most appropriate at this time?
A. Take the client's apical pulse for 1 full minute before drug administration.
B. Place the client in the Trendelenburg position to facilitate blood flow to the heart.
C. Instruct the client to remain in bed for 3 hours after drug administration.
D. Instruct the client to drink 3 L of fluid daily when taking this medication.
C
ACE inhibitors such as captopril can cause severe hypotension with initial use. This is often re-ferred to as first-dose effect. The client is advised to remain in bed for 3 to 4 hours after adminis-tration of the first dose of the medication to prevent hypotension-induced falls.
You might also like to view...
The PACU nurse calls report to the receiving nurse regarding a patient who is returning to the unit after a Billroth II (gastrojejunostomy). What complication will the receiving nurse assess this patient for related to this procedure?
A) Feelings of hunger B) Constipation C) Feeling of fullness D) Gastric reflux
An unmarried couple gives birth to an infant with achondroplasia. The mother says, "Neither of our families has ever had anything like this happen before." What should be the nurse's initial response?
1. "Are you certain your boyfriend is the baby's father?" 2. "Achondroplasia often occurs in families who have no prior history." 3. "There must be someone in the family who is a carrier." 4. "Does your family have a history of early miscarriage?"
A nurse is providing passive range of motion (ROM) for a patient with impaired mobility. Which technique will the nurse use for each movement?
a. Each movement is repeated 5 times by the patient. b. Each movement is performed until the patient experiences pain. c. Each movement is completed quickly and smoothly by the nurse. d. Each movement is moved just to the point of resistance by the nurse.
Leadership and management
a. Are completely separate entities b. Occur only in large corporations c. Occur only in small organizations d. Are both needed in organizations