Complete the sentences using the drop-down lists. The nurse is preparing to administer benazepril to a client. The nurse understands this medication is indicated for the treatment ofdropdown It is contraindicated in clients with dropdown and in clients who are dropdown.
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B","dropdown-group-3":"C"}
• Hypertension: Benazepril is an angiotensin-converting enzyme (ACE) inhibitor used to lower blood pressure by blocking the conversion of angiotensin I to angiotensin II. This results in vasodilation and reduced aldosterone secretion, which lowers systemic vascular resistance. It is commonly prescribed as first-line or adjunct therapy for chronic hypertension.
• Hyperkalemia: ACE inhibitors decrease aldosterone secretion, leading to reduced potassium excretion by the kidneys. In clients with existing hyperkalemia, benazepril can further elevate potassium levels, increasing the risk of dangerous cardiac dysrhythmias. Serum potassium must be monitored closely in clients receiving this medication.
• Breastfeeding: Benazepril can be excreted into breast milk and may affect neonatal renal function and blood pressure regulation. Infants exposed to ACE inhibitors are at risk for hypotension and renal impairment. Because of these potential effects, benazepril is contraindicated during breastfeeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Acute heart failure: Milrinone is a phosphodiesterase-3 inhibitor that increases cardiac contractility and promotes vasodilation. It is indicated for short-term management of acute decompensated heart failure, especially when conventional therapies are insufficient.
B. Atrial fibrillation: Milrinone does not have a primary role in managing atrial fibrillation. Antiarrhythmic medications, rate control agents, or anticoagulants are preferred for this condition.
C. Chronic stable angina: Milrinone is not indicated for chronic stable angina. Antianginal therapies such as nitrates, beta-blockers, or calcium channel blockers are more appropriate for symptom management in this condition.
D. Chronic hypertension: Milrinone is not used for chronic hypertension management. Its potent inotropic and vasodilatory effects are designed for acute cardiac support rather than long-term blood pressure control.
Correct Answer is D
Explanation
A. Fexofenadine: Fexofenadine is a second-generation antihistamine typically administered orally. It is non-sedating and not available in an intravenous form, so it is not suitable for immediate treatment of pruritus during an acute blood transfusion reaction.
B. Loratadine: Loratadine is also a second-generation oral antihistamine. It does not have an intravenous formulation and its onset is slower, making it ineffective for rapid symptom relief in acute transfusion reactions.
C. Cetirizine: Cetirizine is a second-generation antihistamine available orally. Although it is effective for allergic reactions, it does not have an IV form for rapid intervention during a transfusion-related pruritus episode.
D. Diphenhydramine: Diphenhydramine is a first-generation antihistamine that can be administered intravenously for rapid relief of pruritus during acute allergic reactions, including blood transfusion reactions. Its IV form allows immediate onset of action, which is critical in managing these acute symptoms.
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