Question

The nurse is assessing a patient prior to the administration of a diuretic. The nurse knows it is essential to assess which vital signs at this time? Select all that apply.

1. Temperature
2. Pulse
3. Respirations
4. Blood pressure
5. Pain

Answer 1

It is essential to assess a patient's pulse, respirations, and blood pressure before administering diuretics. Systolic and diastolic pressures provide information on how the heart and blood vessels may be impacted by the medication.

Step-by-step explanation:

Before administering a diuretic to a patient, it is essential for a nurse to assess certain vital signs to ensure the patient's safety and to understand how the diuretic may affect their body. Of the vital signs listed, the nurse should pay particular attention to the patient's pulse, respirations, and blood pressure. Diuretics can impact blood volume and pressure, as well as heart and respiration rates, making these measurements particularly relevant. While temperature is a basic vital sign, it isn't typically affected by diuretics. Pain assessment is also important but not directly related to the primary function of diuretics.

Understanding the causes of pulse, systolic pressure, and diastolic pressure is critical in the administration of diuretics. Systolic pressure refers to the pressure in the arteries when the heart beats, whereas diastolic pressure refers to the pressure between beats. A significant drop in blood pressure, such as 70/45 mm Hg, could indicate hypotension, possibly exacerbated by dehydration, making assessment before diuretic administration all the more essential.