A client prescribed a medication for hypertension started taking it 3 days ago and arrives in the emergency department with an edematous face and tongue and having a difficult time speaking. What medication is the nurse aware of that may produce this type of side effect?
Valsartan (Diovan)
Amlodipine (Norvasc)
Enalapril (Vasotec)
Metoprolol succinate (Toprol XL)
The Correct Answer is C
A. Valsartan (Diovan) is an angiotensin II receptor blocker (ARB), and although it can cause side effects like dizziness or elevated potassium levels, it is less commonly associated with angioedema compared to ACE inhibitors.
B. Amlodipine (Norvasc) is a calcium channel blocker, and while it can cause edema, it does not typically cause facial and tongue swelling.
C. Enalapril (Vasotec) is an ACE inhibitor and is known to cause angioedema, a serious side effect that involves swelling of the face, lips, tongue, or throat. This can lead to difficulty breathing or speaking, and it requires immediate medical attention.
D. Metoprolol succinate (Toprol XL) is a beta-blocker and is not commonly associated with angioedema. It may cause other side effects like bradycardia or hypotension but not facial or tongue swelling.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Discontinuing the tube feeding and transitioning to parenteral nutrition is not the first action, as the residual volume may be manageable with additional interventions.
B. A residual volume of 200 mL is above the usual threshold, so the nurse should stop the feeding, wait, and recheck the residual to assess if it improves.
C. While positioning can help gastric emptying, the immediate action should be to stop the feeding and reassess before continuing.
D. Continuing the feeding without rechecking the residual volume would be premature, as the volume is higher than expected, potentially increasing the risk of aspiration.
Correct Answer is A
Explanation
A. Respiratory acidosis is correct because the patient has a low pH (acidosis) and elevated PaCO₂, indicating hypoventilation as the primary cause.
B. Metabolic alkalosis is incorrect because bicarbonate is within the normal range, and there is no metabolic compensation.
C. Respiratory alkalosis is incorrect because alkalosis would present with a high pH and low PaCO₂, the opposite of this scenario.
D. Metabolic acidosis is incorrect because bicarbonate is normal, ruling out a metabolic cause.
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