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NCLEX-RN · Question #722

NCLEX-RN Question #722: Real Exam Question with Answer & Explanation

The correct answer is B. Twenty-four-hour intake 1000 mL/day for past 2 days. (A, D) Decreased pulse volume and increased pulse rate are signs of an acute hypotensive (B) Inadequate fluid volume when taking vasodilators can result in a drop in blood pressure whenvasodilation starts to physiologically occur as an action of the drug. (C) A potassium level of

Question

The nurse discovers that a 78-year-old client who received hydralazine (Apresoline) 20 mg 45 minutes ago has a blood pressure of 70/40 mm Hg. The client has been on this dose of the medication for 3 years. Which of the following data is most likely significant in relation to the cause of the low blood pressure?

Options

  • APedal pulses 11 (weak)
  • BTwenty-four-hour intake 1000 mL/day for past 2 days
  • CSerum potassium 3.3
  • DPulse rate 150 bpm

Explanation

(A, D) Decreased pulse volume and increased pulse rate are signs of an acute hypotensive (B) Inadequate fluid volume when taking vasodilators can result in a drop in blood pressure whenvasodilation starts to physiologically occur as an action of the drug. (C) A potassium level of 3.3 would not be associated with a significant drop in blood pressure.

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