The nurse is preparing a care plan for an elderly client diagnosed with hypertension, who is prescribed prazosin (Minipress) 1 mg 2 times a day. Which instructions should the nurse include in the care plan for this client?

Question

Quizplus · Accepted Answer

Rationale 1: Prazosin (Minipress) does not decrease urinary output but causes an increase in urinary frequency due to more active smooth muscle contractions in the urinary tract.
Rationale 2: Administer initial dose of prazosin (Minipress) at bedtime to minimize adverse effects, such as postural hypotension and syncope.
Rationale 3: The most common side effects of prazosin include dizziness, drowsiness, fatigue, weakness, palpitations, orthostatic hypotension, and headache, since this drug is an alpha1-adrenergic blocker that causes a rapid decrease in peripheral resistance that reduces blood pressure.
Rationale 4: If the initial dose of prazosin (Minipress) must be taken during the day, advise the client to remain recumbent for at least 3 to 4 hours and not to perform hazardous activities during that time.
Rationale 5: Prazosin (Minipress) does not cause constipation.

The Nurse Is Preparing a Care Plan for an Elderly