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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Keeping the client's bed in the low position is a safety measure to reduce the risk of injury from falls.
Choice B reason: Positioning the bedside table close to the client is helpful for ensuring that personal items are within reach and does not increase the risk of falls.
Choice C reason: Attaching the call light to the side rail of the client's bed ensures that the client can easily call for assistance and does not increase the risk of falls.
Choice D reason: Instructing the client to wear their own socks to the bathroom can be a risk factor for falls if the socks do not have nonslip grips, as they may cause the client to slip on the floor.
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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