A patient who has been taking antihypertensive drugs for a few months states that a new, persistent dry cough is very bothersome. The nurse knows that this cough is an adverse effect of which class of antihypertensive drugs?

Calcium channel blocker

Angiotensin II receptor blocker (ARBS)

Angiotensin-converting enzymes (ACE) inhibitors

Beta-blockers

Answer and Explanation

The Correct Answer is C

A. Calcium channel blocker: Calcium channel blockers (e.g., amlodipine, diltiazem) do not commonly cause a dry cough. They primarily work by relaxing blood vessels and reducing heart workload.

B. Angiotensin II receptor blocker: ARBs (e.g., losartan, valsartan) do not typically cause a persistent cough. They are often prescribed instead of ACE inhibitors for patients who experience this side effect.

C. Angiotensin-converting enzyme (ACE) inhibitors: ACE inhibitors (e.g., lisinopril, enalapril) can cause a persistent dry cough due to the accumulation of bradykinin, a substance that can irritate the airways.

D. Beta-blockers: Beta-blockers (e.g., metoprolol, propranolol) are not commonly associated with a dry cough. They mainly affect heart rate and blood pressure but can cause bronchospasms in some patients.

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Correct Answer is D

Explanation

A. Reads and follows the health care provider's orders. While following provider orders is important, critical thinking requires assessing the situation and considering all relevant factors, rather than just following orders without analysis.

B. Accepts one established way to provide care. Critical thinking involves evaluating different approaches and adapting to individual patient needs rather than rigidly adhering to a single method.

C. Makes decisions based on intuition. While intuition can be helpful, evidence-based practice and clinical reasoning should guide decision-making, not just intuition alone.

D. Consider what is important in any given situation. Critical thinking involves analyzing the situation, prioritizing information, and making decisions based on what is most important for patient safety and care.

A. Remove all metal necklaces. B. Take several shallow breaths during the procedure. C. Do not eat or drink anything the morning of the test D. Expect minor discomfort after the procedure

Correct Answer is A

Explanation

A. Remove all metal necklaces. Metal can obscure the x-ray image, so all metal jewelry, piercings, and clothing with metal components should be removed.

B. Take several shallow breaths during the procedure. Patients should take a deep breath and hold it during the x-ray to expand the lungs fully for clearer imaging.

C. Do not eat or drink anything the morning of the test. Fasting is not needed for a chest x-ray; it is typically required for procedures like CT scans with contrast or abdominal ultrasounds.

D. Expect minor discomfort after the procedure. A chest x-ray is non-invasive and painless. There is no expected discomfort afterward.

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A patient who has been taking antihypertensive drugs for a few months states that a new, persistent dry cough is very bothersome. The nurse knows that this cough is an adverse effect of which class of antihypertensive drugs?

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Naxlex Comprehensive Predictor Exams

Which action should the nurse take when using critical thinking to make clinical decisions?

Correct Answer is D

Explanation

As part of an annual physical examination, a nurse is preparing a client to undergo a chest x-ray. Which of the following instructions should the nurse give the client prior to the procedure?

Correct Answer is A

Explanation

A nurse participating in a research project associated with pressure ulcers will assess for what predisposing factor that tends to increase the risk for pressure ulcer development?

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A patient who has been taking antihypertensive drugs for a few months states that a new, persistent dry cough is very bothersome. The nurse knows that this cough is an adverse effect of which class of antihypertensive drugs?