A nurse is collecting data from a client who began taking captopril 2 days ago. Which of the following findings should the nurse report to the provider immediately?

Metallic taste

Joint aches

Lip swelling

Dizziness

Answer and Explanation

The Correct Answer is C

Choice A reason: A metallic taste is a common side effect of captopril but is not typically an emergency.

Choice B reason: Joint aches are also a possible side effect of captopril but do not usually require immediate attention unless they are severe or accompanied by other symptoms.

Choice C reason: Lip swelling can be a sign of angioedema, a rapid swelling of the deep layers of the skin and mucosa, which can be serious and warrants immediate medical attention.

Choice D reason: Dizziness can be a side effect of captopril due to its blood pressure lowering effects. While it should be monitored, it is not as urgent as angioedema unless it is severe or accompanied by other symptoms like fainting.

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Correct Answer is B

Explanation

Choice A reason: Caloric needs for a burn patient are typically higher due to the increased metabolic demand for healing, so restricting to 2,000 calories may not be sufficient.

Choice B reason: Changing gloves between wound care on different body parts is a standard infection control practice to prevent cross contamination.

Choice C reason: Administering a diuretic may be necessary if there is fluid overload, but it is not a routine action based solely on urine output unless specified by a physician.

Choice D reason: Limiting movement or bending of the affected extremities may be necessary initially, but movement is also important for recovery and should be encouraged as tolerated.

A. Apply cool compresses to the right calf. B. Place the right leg in a dependent position. C. Maintain the client on bed rest. D. Decrease the client's fluid intake.

Correct Answer is C

Explanation

Choice A reason: Applying cool compresses may provide some relief but is not the primary action to be taken for DVT.

Choice B reason: Placing the leg in a dependent position can increase swelling and pain and is not recommended for DVT.

Choice C reason: Maintaining the client on bed rest is important to prevent the clot from dislodging and causing a pulmonary embolism.

Choice D reason: Decreasing fluid intake is not recommended as adequate hydration can help prevent further clot formation.

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A nurse is collecting data from a client who began taking captopril 2 days ago. Which of the following findings should the nurse report to the provider immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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