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 B
Explanation
Choice A: The lower eyelids
The lower eyelids are not typically associated with cheilosis. Cheilosis, also known as angular cheilitis, is an inflammatory condition that affects the corners of the mouth, not the eyelids.
Choice B: The corners of the mouth
Cheilosis, also known as angular cheilitis, is an inflammatory condition that affects the corners of the mouth. It typically presents as erythema, scaling, fissuring, and ulceration. In patients with iron deficiency anemia, angular cheilitis can be a clinical manifestation. Therefore, a nurse should monitor the corners of the mouth in a client who has iron deficiency anemia for the clinical manifestation of cheilosis.
Choice C: The anterior nares
The anterior nares (nostrils) are not typically associated with cheilosis. Cheilosis, also known as angular cheilitis, is an inflammatory condition that affects the corners of the mouth, not the nostrils.
Correct Answer is D
Explanation
Choice A reason: Alendronate tablets should not be chewed or sucked on as they can cause irritation in the mouth and throat.
Choice B reason: Alendronate should not be taken with milk or other beverages as calcium can interfere with the absorption of the medication.
Choice C reason: Alendronate should be taken on an empty stomach, at least 30 minutes before the first food, beverage, or medication of the day to ensure proper absorption.
Choice D reason: The client should remain upright for at least 30 to 60 minutes after taking alendronate to prevent esophageal irritation and promote absorption of the medication.
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