A 75-year-old client with a long history of depression is currently taking doxepin (Sinequan),100 mg daily.The client also takes a daily diuretic for hypertension and is recovering from the flu.Which nursing diagnosis should the nurse assign highest priority?

Question

Quizplus · Accepted Answer

The highest priority nursing diagnosis for this client is risk for injury related to orthostatic hypotension. Doxepin can cause orthostatic hypotension, which can be exacerbated by the diuretic the client is taking. This puts the client at risk for falls and injury, especially in the setting of recovering from the flu, which can also cause weakness and dizziness. The other options listed are potential risks for the client, but they are not as immediate or severe as the risk for injury from orthostatic hypotension.

A 75-Year-Old Client with a Long History of Depression Is