The nurse is creating a plan of care for a patient with a new diagnosis of hypertension. Which is a potential nursing diagnosis for the patient taking antihypertensive medications?

Correct Answer: B

Rationale: Sexual dysfunction is a potential nursing diagnosis for a patient taking antihypertensive medications because certain classes of antihypertensive drugs, such as beta blockers and thiazide diuretics, have been known to cause sexual side effects. These effects may include erectile dysfunction in men and decreased libido or altered menstrual cycles in women. It is important for nurses to assess and address any sexual dysfunction concerns in patients on antihypertensive medications to improve quality of life and adherence to treatment. Diarrhea, urge urinary incontinence, and impaired memory are not typically associated with antihypertensive medications and would not be as relevant in this situation.

Correct Answer: A

Rationale: Furosemide, a loop diuretic, can rarely lead to a serious adverse reaction known as Stevens-Johnson syndrome. Stevens-Johnson syndrome is a severe skin reaction that can be life-threatening and typically involves painful blistering and shedding of the skin. This reaction is considered a serious medical emergency and requires immediate medical attention. It is crucial to monitor for any signs of skin changes or reactions while using Furosemide and report them to a healthcare provider promptly.

Correct Answer: C

Rationale: Redness and pain at the site of the infusion are important signs of a potential infiltration or extravasation of the medication, in this case pentamidine (Pentam) IV. Pentamidine is an antimicrobial medication used to treat and prevent Pneumocystis jiroveci pneumonia (PCP) in patients who are immunocompromised, such as those with HIV. Infiltration or extravasation of IV medications can lead to significant tissue damage, necrosis, and other complications. Therefore, it is crucial to immediately address any signs of redness and pain at the infusion site to prevent further harm to the patient. This assessment finding should be promptly relayed to the physician for appropriate management, which may include discontinuation of the infusion, monitoring for complications, and providing alternative treatments if necessary. The other assessment findings (blood pressure of 100/62 mm/Hg

Correct Answer: B

Rationale: Lithium is primarily used in the treatment of bipolar disorder to decrease the incidence of acute manic episodes. It helps to stabilize mood and prevent the extreme highs (manic episodes) associated with bipolar disorder. Lithium is not used to decrease blood pressure, seizure activity, or increase urinary output.

Correct Answer: B

Rationale: Naloxone is the appropriate medication to be administered to a patient with a suspected opioid overdose. Naloxone is an opioid receptor antagonist, meaning it can quickly reverse the effects of opioids on the central nervous system. It works by binding to the same receptors in the brain that opioids target, blocking their effects and rapidly restoring normal respiration and consciousness in a person who has overdosed on opioids. This can be a life-saving treatment for opioid overdose patients. Exenatide, Heparin, and Tolvaptan are not appropriate medications for reversing opioid overdose.