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. While physical restraints may potentially cause harm, the intention in this case is to ensure safety, so it isn't directly categorized as harm.
B. Paternalism involves making decisions for the patient without their consent, believing it's for their own good, which is what the nurse is considering by using restraints for safety.
C. Deception is not involved in this situation, as the nurse is not misrepresenting the circumstances.
D. Advocacy would involve advocating for the patient's autonomy, which may not align with using restraints without the patient's consent.
Correct Answer is C
Explanation
A. Opioid agonists and opioid antagonists are incorrect because opioid antagonists (e.g., naloxone) reverse opioid effects rather than enhance pain relief.
B. Adjuvants and partial agonists are incorrect because while adjuvants can be helpful, partial agonists may not provide adequate pain relief for severe musculoskeletal pain.
C. NSAIDs and opioids are correct as NSAIDs reduce inflammation and opioids provide stronger analgesia when needed for severe pain.
D. NSAIDs and antidepressants are incorrect because while some antidepressants help with chronic neuropathic pain, they are not the primary treatment for musculoskeletal and soft tissue inflammation.
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