An older adult patient will be taking a vasodilator for hypertension. Which adverse effect is of most concern for the older adult patient taking this class of drug?
a. Dry mouth
b. Restlessness
c. Constipation
d. Hypotension
ANS: D
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During an assessment of a 68-year-old man with a recent onset of right-sided weakness, the nurse hears a blowing, swishing sound with the bell of the stethoscope over the left carotid artery. This finding would indicate:
a. Valvular disorder. b. Blood flow turbulence. c. Fluid volume overload. d. Ventricular hypertrophy.
A client taking an antihypertensive medication is not exhibiting the expected response. Which factor should the nurse consider as contributing to the lack of drug effect? The client:
1. was not given a loading dose of the medication. 2. is African-American. 3. has never taken an antihypertensive medication before. 4. is of Asian descent.
You are teaching the patient about blood pressure control along with diet and weight reduction. What might you see to reassure you the patient understands this learning session?
1. The patient takes a few notes. 2. The patient repeats back some of the information given. 3. The patient is on time for every teaching session. 4. The patient takes his blood pressure and weighs himself.
The nurse is assessing a new mother 2 days after a normal vaginal delivery. The mother has chosen not to breastfeed. What would an abnormal finding be?
1. Weight loss of 3 pounds 2. Small amount of breast milk expressed 3. Pink striae on the abdomen 4. Lochia serosa