A nurse is reviewing the lab work of a client on a medical-surgical unit who has a new prescription for captopril. Which of the following laboratory values should the nurse identify as the priority to monitor?

Alanine aminotransferase

Thyroid-stimulating hormone

Potassium

Magnesium

Answer and Explanation

The Correct Answer is C

A. Monitoring alanine aminotransferase is important for liver function, but it is not the priority for a client on captopril.

B. Thyroid-stimulating hormone is not directly impacted by captopril and is not the priority lab value to monitor in this context.

C. Potassium is the priority laboratory value to monitor because captopril, an ACE inhibitor, can lead to hyperkalemia (elevated potassium levels), which can cause serious cardiac complications.

D. While magnesium levels are important to monitor, they are not specifically related to captopril therapy as potassium levels are.

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Correct Answer is D

Explanation

A. Brown-colored urine is an expected harmless side effect of nitrofurantoin and does not need to be reported.
B. Nitrofurantoin is an antibiotic used for urinary tract infections; it does not relieve peripheral nerve pain.
C. Some formulations of nitrofurantoin, especially extended-release capsules, should not be crushed because this can affect absorption and efficacy.
D. Nitrofurantoin can cause pulmonary toxicity, including cough, dyspnea, or chest pain. Clients should notify the provider immediately if respiratory symptoms develop.

A. Furosemide B. Lorazepam C. Bethanechol D. Atropine

Correct Answer is C

Explanation

A. Furosemide is a diuretic that promotes urine production but is not indicated for treating bladder distention or urinary retention post-surgery.

B. Lorazepam is an anxiolytic medication and does not address urinary retention or bladder distention.

C. Bethanechol is a cholinergic agent that stimulates bladder contraction and is used to treat urinary retention. It helps to facilitate voiding in clients who have difficulty.

D. Atropine is an anticholinergic medication that can actually inhibit bladder contraction, making it inappropriate for this situation.

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A nurse is reviewing the lab work of a client on a medical-surgical unit who has a new prescription for captopril. Which of the following laboratory values should the nurse identify as the priority to monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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