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 B

Explanation

a) Tingling in the toes may be indicative of peripheral neuropathy but is not specifically related to elevated BUN and serum creatinine levels.

b) Elevated BUN and serum creatinine levels suggest potential renal impairment, and interpreting peak and trough levels of vancomycin is essential to assess the drug's impact on renal function.

c) Assessing urine output is important in evaluating renal function, but the specific action related to the elevated BUN and creatinine levels is to interpret vancomycin levels.

d) Consulting the provider about the need for a less nephrotoxic medication may be a consideration, but understanding the impact of vancomycin on renal function through peak and trough levels is a crucial initial step.

A. "Cough medicine tastes bad, and infants usually won't take it." B. "Infants are more susceptible to central nervous system effects than adults are." C. "Babies have a more rapid gastric emptying time and don't absorb drugs well." D. "Infants metabolize drugs too rapidly, so drugs aren't as effective."

Correct Answer is B

Explanation

a) The taste of cough medicine is not the primary concern for not recommending it to infants. The key issue lies in potential adverse effects, especially on the central nervous system. b) Infants have an immature central nervous system and are more susceptible to the sedative effects of medications. This is a critical factor in avoiding medications with sedative side effects in infants.

c) Gastric emptying time and drug absorption are generally faster in infants, making them more susceptible to rapid drug effects rather than less. However, the central nervous system effects are of greater concern.

d) Infants may metabolize drugs differently, but this does not necessarily mean the drugs are less effective. The primary concern is the potential for increased susceptibility to adverse effects.

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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

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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