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 ["18"]
Explanation
- Calculate the total infusion time in minutes:
- 6 hours 60 minutes/hour = 360 minutes
- Calculate the total number of drops:
- 650 mL 10 gtt/mL = 6500 gtt
- Calculate the drops per minute:
- 6500 gtt / 360 minutes = 18.0555gtt/minute
- Round to the nearest whole number:
- 18 gtt/minute
Correct Answer is C
Explanation
A. Chlordiazepoxide is a benzodiazepine used for alcohol withdrawal, but folic acid is not commonly used for managing withdrawal symptoms.
B. Promethazine is an antiemetic, and thiamine is given to prevent Wernicke's encephalopathy, but they are not primarily used to manage withdrawal symptoms.
C. Chlordiazepoxide and lorazepam are both benzodiazepines that are commonly used to manage alcohol withdrawal symptoms by calming the nervous system and preventing seizures or delirium tremens.
D. Lorazepam is appropriate, but promethazine is not typically used to treat alcohol withdrawal symptoms.
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