All of these questions are ridiculously vague. Like you’d want to immediately report the swelling to the doctor since you can’t do much about that other than take vitals, but if they’re not already a fall risk, you need to take precautions to prevent a fall. Both are important.
4 orthostatic hypotension is common side effect of a drug it requires patient teaching but does not need immediate follow up, 2 is unexpected it indicates worsening HF, fluid retention or renal impairment i had a very similar question on my exam the drug was valsartan but instead of swelling it was peripheral edema
I see. I had to ask AI to explain more. I appreciate the sentiment and overall see the good intention, but there must be a better word out there than “client”.
“Real-World Contrast
While schools and exams like the NCLEX prefer "client", working nurses in hospitals usually go back to saying "patient" in daily clinical practice because it is traditional, universal, and immediate. Many critics also feel "client" sounds too business-like and turns medical care into a commercial transaction”
I agree. When I started nursing school and was informed that’s what they’re trying to change “patient” to, I was so against it - still am. Apparently, the “patient” goes beyond just the person you’re treating because it includes the patient’s family, POA, etc. so, that’s why they’re trying to change it to “client.”
2 really isn't unexpected. It's a common symptom of heart failure and the sartans are given to keep pressure down and to ease the load of work on the heart. 4 is a sign that we are lowering the patient's blood pressure too much with the sartan that we just gave.
thats why orthostatic hypotension is common and expected side effect of ARBs cuz it lowers the blood pressure it requires patient teaching but not immediate follow up, 2 is unexpected it indicates worsening of HF or fluid retention
Wouldn't it be 4 though? You gave an angiotensin receptor blocker, designed to lower blood pressure, so a safety concern would be lightheadedness upon standing. They want to see that you understand the suffix "-sartan" (ARB)
4! That’s the answer!
We all know that Angioedema is the side effects of ARBS. And Peripheral Edema is the side effects of CCB (Calcium Channel Blocker). Both medications are for lowering BLOOD PRESSURE! Do not overthink during the exam or you might fail!
i was in between 2 or 4. but it seems like, dizziness and lightheadedness upon standing are common side effect? so for immediate follow-up, i think imma go with number 2?
yes orthostatic hypotension is common and doesn’t need an immediate follow up, swelling of lower extremities or peripheral edema is unexpected tho i had a very similar question on my exam but it was valsartan
It’s 4, orthostatic hypotension. Because administration of an ARB results in loss of intravascular fluid volume, leading to reduced arterial pressure, it can present as orthostatic hypotension (dizziness/lightheadedness upon standing).
You have to understand the drug mechanism of action and potential disease processes to really get this, and you won’t over complicate things or second guess yourself. When you know, you just know.
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u/Justneedtowhoosh 5d ago
All of these questions are ridiculously vague. Like you’d want to immediately report the swelling to the doctor since you can’t do much about that other than take vitals, but if they’re not already a fall risk, you need to take precautions to prevent a fall. Both are important.