A client is receiving nadolol as part of the treatment plan for ...

[nmorano1]

A client is receiving nadolol as part of the treatment plan for hypertension. The client reports dizziness on standing. The nurse checks the client's blood pressure lying, sitting, and standing and notes a significant drop in the readings.
 
  When developing this client's plan of care, which nursing diagnosis would the nurse most likely identify?
 
  A) Risk for Injury
  B) Ineffective Tissue Perfusion
  C) Impaired Comfort
  D) Decreased Cardiac Output

Question 2

A nurse is reviewing the medication orders for a client and notes an adrenergic blocker that is to be applied transdermally. Which medication would the nurse be preparing to administer?
 
  A) Methyldopa
  B) Clonidine
  C) Guanabenz
  D) Guanfacine

[wuly]

Answer to Question 1

Ans: A
Feedback:
The client is experiencing orthostatic hypotension, placing the client at risk for falls and injury. Ineffective Tissue Perfusion would be appropriate if the client was experiencing more rapid changes in blood pressure and/or changes in pulse and heart rate. Impaired Comfort would apply if the client was complaining of other adverse reactions such as dry mouth or constipation. There is no information provided that would suggest decreased cardiac output.

Answer to Question 2

Ans: B
Feedback:
Clonidine is available in a transdermal formulation. Methyldopa may be administered IV or orally. Guanabenz and guanfacine are administered orally.

[nmorano1]

Thank you!

[wuly]

Always glad to help...