A client arrives in the emergency department with localized swelling of the lips and tongue. The client's medication list includes the following medications. Which of these medications does the nurse anticipate the provider discontinuing?

Amlodipine

Budesonide

Simvastatin

Captopril

Answer and Explanation

The Correct Answer is D

a) Amlodipine is a calcium channel blocker and is less likely to cause angioedema compared to ACE inhibitors like captopril.

b) Budesonide is a corticosteroid and is not typically associated with angioedema.

c) Simvastatin is a statin and is not known to cause angioedema.

d) Captopril is an ACE inhibitor, and angioedema is a known adverse effect. In the presence of localized swelling of the lips and tongue, discontinuation of captopril is likely indicated.

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Correct Answer is D

Explanation

a) Taking the medication to prevent asthma attacks is an appropriate use and does not require immediate intervention.

b) Using the rescue inhaler twice a month may indicate the need for further evaluation but does not pose an immediate threat.

c) Sleep disturbances are a known side effect of leukotriene blockers and may need attention, but it is not an urgent concern.

d) Expressing suicidal ideation and having a plan for self-harm is a critical situation that requires immediate intervention to ensure the client's safety and well-being.

A. "Oral acyclovir may be used during pregnancy." B. "Intravenous antiviral agents will be used if an outbreak occurs." C. "Topical acyclovir must be used to control outbreaks." D. "Antiviral medications are not safe during pregnancy."

Correct Answer is A

Explanation

a. This is the correct answer. Oral acyclovir is considered safe during pregnancy and may be used to suppress outbreaks of genital herpes in pregnant women.

b. Using intravenous antiviral agents is typically reserved for severe cases and is not the first-line approach for suppressing outbreaks in pregnant women.

c. While topical acyclovir can be used for genital herpes outbreaks, it is not typically the first choice for suppression during pregnancy.

d. This statement is not accurate. Some antiviral medications, including oral acyclovir, are considered safe during pregnancy when the benefits outweigh the risks, especially in cases where there is a history of recurrent genital herpes.

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A client arrives in the emergency department with localized swelling of the lips and tongue. The client's medication list includes the following medications. Which of these medications does the nurse anticipate the provider discontinuing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adolescent client is taking a leukotriene blocker. Which of these statements by the client requires the most immediate intervention?

Correct Answer is D

Explanation

A client who is pregnant has a history of recurrent genital herpes virus. The client asks the nurse what will be done to suppress an outbreak when she is near term. What is the nurse's response?

Correct Answer is A

Explanation

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