Difficulty: Medium
Average Score: 76%
Simulated
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of nitroprusside. Which of the following actions should the nurse take?
Correct answer
A
Rationale
Nitroprusside, a vasodilator, requires hourly BP monitoring to prevent hypotension. Site changes are less frequent, rate depends on orders, and heparin isn't routine.