A patient is taking an ACE inhibitor for hypertension. The patient reports a constant, dry, hacking cough. The nurse would expect the provider to change the current treatment to which of the following medications?

Hydralazine

An antiplatelet medication

An angiotensin in receptor blocker (ARB)

Nitroglycerin

Answer and Explanation

The Correct Answer is C

A. Hydralazine is a vasodilator, but it does not have the same mechanism of action as ACE inhibitors or ARBs and would not be an appropriate substitute.

B. An antiplatelet medication is not appropriate for addressing a cough and is typically used for cardiovascular conditions like preventing blood clots.

C. ARBs, such as losartan, are a class of medications that work similarly to ACE inhibitors by blocking the effects of angiotensin II, but they do not cause the common side effect of a dry, hacking cough, which is seen with ACE inhibitors. This makes ARBs a good alternative for patients who experience this side effect.

D. Nitroglycerin is a vasodilator used in acute conditions like chest pain, not for managing hypertension or a cough related to ACE inhibitors.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Cutting toenails straight across is an appropriate action for PAD clients because it prevents injury or infection, as clipping nails too short or rounding the edges can cause cuts or ingrown nails.

B. Wearing shoes and socks instead of open-toed shoes is recommended to protect the feet from injury, as individuals with PAD have decreased sensation in their feet, increasing the risk of unnoticed injury.

C. Inspecting the feet daily for cuts is a crucial step in PAD management to detect early signs of infection or injury, which can lead to complications such as gangrene or amputation.

D. Raising the legs above the heart level can worsen symptoms in PAD by further reducing arterial blood flow to the lower extremities, where circulation is already compromised. This technique is typically used in venous insufficiency, not PAD.

Correct Answer is ["8"]

Explanation

Calculate the total infusion time:

Total volume (mL) / Infusion rate (mL/hr) = Infusion time (hours)

1000 mL / 125 mL/hr = 8 hours

Therefore, the IV pump should infuse the 1-liter bag of 0.9% sodium chloride over 8 hours.

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A patient is taking an ACE inhibitor for hypertension. The patient reports a constant, dry, hacking cough. The nurse would expect the provider to change the current treatment to which of the following medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The home care nurse has given instructions to a client who was recently discharged from the hospital regarding the care of their extremities due to peripheral arterial disease. The nurse determines that there is a need for further teaching if the client makes which statement?

Correct Answer is D

Explanation

Correct Answer is ["8"]

Explanation

A patient is taking an ACE inhibitor for hypertension. The patient reports a constant, dry, hacking cough. The nurse would expect the provider to change the current treatment to which of the following medications?

The nurse teaches a client at risk for coronary artery disease about necessary lifestyle changes. The nurse determines that the client understands the education if the client makes which statements? Select all that apply.

The patient diagnosed with primary hypertension asks why it is called primary and not secondary. What is the best explanation for the nurse to provide?

The nurse has finished teaching a patient diagnosed with chronic stable angina about the use of sublingual nitroglycerin (Nitrostat). Which patient statement indicates that the teaching has been effective?

A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

A nurse is admitting a client who reports chest pain. Exhibits The nurse is preparing the client for the cardiac catheterization (coronary angiography). Which of the following actions should the nurse take? (Select all that apply.)

A nurse is providing discharge teaching for a client who has a new prescription for warfarin. Which of the following instructions should the nurse include in the teaching?