The nurse is administering prescribed sodium nitroprusside (Nipride) intravenously to a client who has shock. Which nursing intervention is a priority when administering this medication?
a. Ask if the client has chest pain every 30 minutes.
b. Assess the client's blood pressure every 15 minutes.
c. Monitor the client's urinary output every hour.
d. Observe the client's extremities every 4 hours.
B
The client receiving sodium nitroprusside should have his or her blood pressure assessed every 15 minutes. Higher doses can cause systemic vasodilation and can increase shock. The nurse should monitor the client's pain, urinary output, and extremities, but these assessments do not directly relate to the nitroprusside infusion.
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