A nurse is educating a client who has a new prescription for captopril. Which of the following statements by the client demonstrates an understanding of the teaching of this medication?

This medication will cause a dry cough.

This medication will cause drowsiness.

This medication will lower my heart rate.

This medication will lower my LDL.

Answer and Explanation

The Correct Answer is A

Rationale:

A. Captopril, an angiotensin-converting enzyme (ACE) inhibitor, commonly causes a dry cough as a side effect due to the accumulation of bradykinin.

B. Captopril typically does not cause drowsiness as a side effect.

C. Captopril may cause a decrease in heart rate as a result of its vasodilatory effects, but this is not a primary therapeutic effect of the medication.

D. Captopril primarily affects blood pressure and heart function but does not directly lower LDL cholesterol levels.

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Correct Answer is D

Explanation

Rationale:

A. Limiting alcoholic beverages is important for heart health, but the recommended limit is typically lower than 3 drinks per day, especially for individuals with cardiac myopathy.

B. Increasing intake of saturated fats can exacerbate heart disease and increase the risk of angina episodes. The recommendation is usually to limit saturated fat intake.

C. Regular exercise is beneficial for heart health, but 30 minutes a week may not be sufficient for preventing angina episodes. The recommendation is typically at least 150 minutes of moderate- intensity aerobic exercise per week.

D. Maintaining a BMI (Body Mass Index) less than 25 is important for managing cardiac myopathy and preventing angina episodes. Excess weight can put strain on the heart and exacerbate heart disease.

Correct Answer is ["30"]

Explanation

Infusion rate (gtt/min)= Volume to be infused (gtt)/ Time for infusion (min)

Total volume to be infused=Rate×Time

Total volume to be infused=150 mL/hr×10

Total volume to be infused=1500mL

Convert the total volume to be infused to drops using the drop factor:

Total volume in drops=Total volume to be infused×Drop factor Total volume in drops=1500 mL×12 gtt/mL

Total volume in drops=18000gtt

Divide the total volume in drops by the total time in minutes:

Infusion rate (gtt/min)=18000 gtt/ 10× 60 minInfusion rate (gtt/min)= 30gtt/min

So, the nurse should set the manual IV infusion to deliver 30 gtt/min.

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A nurse is educating a client who has a new prescription for captopril. Which of the following statements by the client demonstrates an understanding of the teaching of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has cardiac myopathy about ways to prevent episodes of angina. Which of the following instructions should the nurse include in the education?

Correct Answer is D

Explanation

Correct Answer is ["30"]

Explanation

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