The nurse is teaching a patient about the side effects associated with doxazosin [Cardura]. Which statement by the patient indicates an understanding of the nurse's instructions?
A. "I may experience an increase in hair growth as a side effect."
B. "I'll notify the healthcare provider if I develop a persistent cough."
C. "I'll make sure I include extra sources of potassium in my diet, such as bananas and baked potatoes."
D. "When getting out of bed in the morning, I will sit on the side of the bed for several minutes before standing."
Answer: D. "When getting out of bed in the morning, I will sit on the side of the bed for several minutes before standing."
Explanation: The most disturbing side effect of alpha blockers, such as doxazosin, is orthostatic hypotension, because it can affect the patient's safety. Patients should change positions slowly and carefully. Excessive hair growth is a side effect of minoxidil. Persistent cough is an adverse effect of ACE inhibitors. Hypokalemia is a side effect of thiazide and loop diuretics, so additional sources of potassium should be incorporated into the diet.
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Your examination of a 5-year-old child reveals limited abduction and internal rotation of the child's right hip accompanied by muscle spasm, proximal thigh atrophy, and a painless limp. These findings indicate
a. dislocated hip. c. juvenile rheumatoid arthritis. b. Duchenne muscular dystrophy. d. Legg-Calvé-Perthes disease.
A 42-year-old female patient who was just admitted states, "I must be under too much stress. I just do not feel well." The nurse understands that her complaint could be a symptom of stress and is not surprised to find that
1. Her blood pressure is 178/96 mm Hg. 2. She sets aside some time each day to relax. 3. Her pupils are constricted and reactive to light. 4. She is limiting fats and sugar in her diet.
What intervention by the nurse would most encourage self-feeding in a patient who recently had a CVA with right-sided paralysis?
a. Place "finger foods" on the left side of the plate. b. Support the right hand in holding an adap-tive cup. c. Seat the patient in the dining room with other residents. d. Place large helpings of food in the center of the plate.
The nurse plans care for four patients and assigns patient feeding to nursing assistive personnel (NAP). Which patient should the nurse watch during mealtime?
a. The patient who refuses most of the meals served b. The patient who is learning to use adaptive utensils c. The patient who swallows four times for each piece of food d. The patient who is taking ice chips on the first postoperative day