A nurse is educating a group of students on caring for clients who are receiving antihypertension medications. Which of the following medications should the nurse attribute to causing a rise in creatinine levels?
Captopril
Clonidine
Verapamil
Hydralazine
The Correct Answer is A
Rationale:
A. Captopril, an angiotensin-converting enzyme (ACE) inhibitor, can cause a rise in serum creatinine levels as a result of its effects on renal blood flow and glomerular filtration rate. It is important to monitor renal function regularly in patients receiving ACE inhibitors.
B. Clonidine, an alpha-2 adrenergic agonist, typically does not have a significant effect on creatinine levels.
C. Verapamil, a calcium channel blocker, typically does not have a significant effect on creatinine levels.
D. Hydralazine, a direct-acting vasodilator, typically does not have a significant effect on creatinine levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Captopril, an angiotensin-converting enzyme (ACE) inhibitor, can cause a rise in serum creatinine levels as a result of its effects on renal blood flow and glomerular filtration rate. It is important to monitor renal function regularly in patients receiving ACE inhibitors.
B. Clonidine, an alpha-2 adrenergic agonist, typically does not have a significant effect on creatinine levels.
C. Verapamil, a calcium channel blocker, typically does not have a significant effect on creatinine levels.
D. Hydralazine, a direct-acting vasodilator, typically does not have a significant effect on creatinine levels.
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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