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NCLEX Question: ARBS Managing Side Effects Education

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Question number 4:

The client newly prescribed with Candesartan (Atacand) tells the nurse that being on the first week with this medication has made him feel dizzy in the morning. Which of the following would be an appropriate response by the nurse?
A. “Take this medication during lunchtime to decrease the symptom.”
B. “This is a side effect of the medication, sit down for a while before standing up in the morning or slowly change position to prevent light-headedness.”
C. “Stop taking this medication whenever you feel dizzy and prop your feet up with one pillow underneath.”
D. “Do not take the medication on days that you feel light-headed.”
Looking at the answer options: Option A. “Take this medication during lunchtime to decrease the symptom.” Changing it at night time rather than during the day would help mask this side effects while sleeping.
Option B: “This is a side effect of the medication, sit down for a while before standing up in the morning or slowly change position to prevent light-headedness.” Orthostatic hypotension is a side effect of ARBs and which can be managed by slowly rising or slowly changing positions.
In option C: “Stop taking this medication whenever you feel dizzy and prop your feet up with one pillow underneath.” The medication should not be stopped or withheld without the physician’s orders.
And option D: “Do not take the medication on days that you feel light-headed.” if the patient is feeling lightheaded, you want them to communicate with their physician… starting and stoping medications can be dangerous and you do not want to recommend doing that.
Making the correct and final answer option.
B

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