A patient has been prescribed prazosin (Minipress). What ...

[clippers!]

A patient has been prescribed prazosin (Minipress). What information should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. Stay out of the sun until you determine if you become sun-sensitive.
  2. Take this medication just before you go to bed.
  3. This medication may make you dizzy.
  4. This medication may slow your heart rate noticeably.
  5. Do not take this medication with milk.

Question 2

The patient comes to the emergency department with a blood pressure of 200/120 mmHg. The physician orders hydralazine (Apresoline) IV. What will the nurse's priority assessment include?
 
  1. Hypotension and bradycardia
  2. Hypotension and hyperthermia
  3. Hypotension and tachycardia
  4. Hypotension and tachypnea

[Jmfn03]

Answer to Question 1

2,3
Rationale 1: There is no indication that this medication will make the patient sensitive to the sun.
Rationale 2: This medication should be taken just before bedtime as it may cause drowsiness or light-headedness.
Rationale 3: Dizziness is a common adverse effect of this drug.
Rationale 4: Tachycardia is the expected adverse effect.
Rationale 5: There is no reason to avoid milk when taking this drug.

Global Rationale: This medication should be taken just before bedtime as it may cause drowsiness or light-headedness. Dizziness is a common adverse effect of this drug. There is no indication that this medication will make the patient sensitive to the sun. Tachycardia is the expected adverse effect. There is no reason to avoid milk when taking this drug.

Answer to Question 2

3
Rationale 1: Direct vasodilators do not produce bradycardia.
Rationale 2: Direct vasodilators do not affect body temperature.
Rationale 3: Direct vasodilators produce reflex tachycardia, a compensatory response to the sudden decrease in blood pressure caused by the drug.
Rationale 4: Direct vasodilators do not affect respiratory rate.
Global Rationale: Direct vasodilators produce reflex tachycardia, a compensatory response to the sudden decrease in blood pressure caused by the drug. Direct vasodilators produce hypotension and tachycardia, not bradycardia. Direct vasodilators do not affect body temperature. Direct vasodilators do not affect respiratory rate.

[clippers!]

Excellent

[jordangronback]

TYSM