Difficulty: Medium
Average Score: 82%
Simulated
A nurse is assessing a client who reports feeling dizzy while getting out of bed. The nurse suspects orthostatic hypotension related to a medication the client is taking Which of the following medications should the nurse identify as likely causing this adverse effect?
Correct answer
D
Rationale
The correct answer is D: Furosemide. Furosemide is a loop diuretic that works by causing increased urine production, leading to fluid loss and potential dehydration, which can result in orthostatic hypotension. This effect is more pronounced when the client changes positions quickly, such as getting out of bed.
A: Dabigatran is an anticoagulant and does not typically cause orthostatic hypotension.
B: Levothyroxine is a thyroid hormone replacement and does not usually cause orthostatic hypotension.
C: Isoproterenol is a beta-adrenergic agonist that can actually increase blood pressure, not cause orthostatic hypotension.
In summary, Furosemide is the correct answer because it is a diuretic that can lead to dehydration and orthostatic hypotension, while the other options do not typically cause this adverse effect.
A: Dabigatran is an anticoagulant and does not typically cause orthostatic hypotension.
B: Levothyroxine is a thyroid hormone replacement and does not usually cause orthostatic hypotension.
C: Isoproterenol is a beta-adrenergic agonist that can actually increase blood pressure, not cause orthostatic hypotension.
In summary, Furosemide is the correct answer because it is a diuretic that can lead to dehydration and orthostatic hypotension, while the other options do not typically cause this adverse effect.