ACE inhibitors work on the RAAS to prevent the conversion of angiotensin I to angiotensin II. Because this blocking occurs in the cells in the lung, which is usually the site of this conversion, the use of ACE inhibitors often results in

unrelenting cough.

respiratory depression.

spontaneous pneumothorax.

pneumonia.

Answer and Explanation

The Correct Answer is A

This is the correct response. ACE inhibitors are known to cause a persistent, dry, and irritating cough in some individuals. This adverse effect occurs due to the accumulation of bradykinin and other substances in the lungs, leading to increased sensitivity of the cough reflex. The cough typically resolves upon discontinuation of the ACE inhibitor.

B) Respiratory depression:
Respiratory depression is not a common side effect of ACE inhibitors. ACE inhibitors do not directly affect respiratory drive or function in the central nervous system. Therefore, this option is incorrect.

C) Spontaneous pneumothorax:
Spontaneous pneumothorax is not a typical adverse effect associated with ACE inhibitor use. ACE inhibitors do not directly cause the development of pneumothorax, which is characterized by the presence of air in the pleural space. Therefore, this option is incorrect.

D) Pneumonia:
While ACE inhibitors can increase the risk of respiratory infections due to their effect on the immune system, pneumonia is not a specific adverse effect associated with ACE inhibitor use. Pneumonia is typically caused by infectious agents such as bacteria, viruses, or fungi, rather than being a direct effect of ACE inhibitors. Therefore, this option is incorrect.”

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Correct Answer is ["35"]

Explanation

Here's the calculation:

Total volume of enteral nutrition (mL): 840 mL

Infusion time (hours): 24 hours

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

Flow rate (mL/hr) = 840 mL / 24 hours = 35 mL/hr (round to nearest whole number as requested)

Therefore, the nurse should program the pump to deliver 35 mL/hr.

A. Migraines B. Diverticulitis C. Hypertension D. Eczema

Correct Answer is C

Explanation

A) Migraines:
Pseudoephedrine is not contraindicated for migraines. In fact, it is sometimes used in combination with other medications to alleviate symptoms of sinus congestion associated with migraines.

B) Diverticulitis:
Pseudoephedrine is not contraindicated for diverticulitis. However, it may cause gastrointestinal side effects such as abdominal discomfort or constipation, which could exacerbate symptoms in individuals with diverticulitis. Therefore, caution should be exercised when using pseudoephedrine in these clients.

C) Hypertension:
This is the correct answer. Pseudoephedrine is a sympathomimetic drug that can cause vasoconstriction and increase blood pressure. Therefore, it is contraindicated in clients with hypertension or cardiovascular disease, as it may exacerbate these conditions and increase the risk of adverse cardiovascular events such as hypertensive crisis or stroke.

D) Eczema:
Pseudoephedrine is not contraindicated for eczema. However, it may cause dryness of the skin and exacerbate existing dermatological conditions. Clients with eczema should use pseudoephedrine cautiously and monitor for any worsening of their skin condition.

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ACE inhibitors work on the RAAS to prevent the conversion of angiotensin I to angiotensin II. Because this blocking occurs in the cells in the lung, which is usually the site of this conversion, the use of ACE inhibitors often results in

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["35"]

Explanation

A nurse is reviewing the medical record of a client who reports taking pseudoephedrine for sinus congestion as needed. The nurse should identify that pseudoephedrine is contraindicated for which of the following client conditions?

Correct Answer is C

Explanation

A patient with COPD would be expected to have

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ACE inhibitors work on the RAAS to prevent the conversion of angiotensin I to angiotensin II. Because this blocking occurs in the cells in the lung, which is usually the site of this conversion, the use of ACE inhibitors often results in