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 C
Explanation
A. Vitamin K: Vitamin K is used to reverse the effects of warfarin by promoting clotting factor synthesis. It is ineffective against dabigatran, a direct thrombin inhibitor, because dabigatran’s mechanism is independent of vitamin K–dependent clotting factors.
B. Activated charcoal: Activated charcoal can reduce the absorption of recently ingested dabigatran if given within a short timeframe after ingestion. However, it is not a specific antidote and is only useful in cases of recent overdose, not for urgent reversal in bleeding emergencies.
C. Idarucizumab: Idarucizumab is a monoclonal antibody fragment that specifically binds to dabigatran, neutralizing its anticoagulant effect. It acts rapidly and is indicated in life-threatening or uncontrolled bleeding or when urgent surgery is required, making it the definitive antidote.
D. Andexanet alfa: Andexanet alfa is an antidote for factor Xa inhibitors such as apixaban and rivaroxaban. It does not reverse dabigatran, which is a direct thrombin inhibitor, and therefore is not appropriate.
Correct Answer is B
Explanation
. Hypertension: Methylprednisolone is a corticosteroid used primarily for its anti-inflammatory and immunosuppressive effects. While long-term use can contribute to elevated blood pressure, hypertension itself is not an indication for this medication.
B. Asthma exacerbation: Methylprednisolone is indicated for the management of acute asthma exacerbations because it reduces airway inflammation, improves airflow, and decreases the severity and duration of symptoms. It is commonly used when inhaled therapies are insufficient.
C. Bacterial pneumonia: While corticosteroids may sometimes be used as adjunct therapy in severe bacterial pneumonia, antibiotics are the primary treatment. Methylprednisolone is not indicated as first-line therapy for bacterial infections.
D. Type 1 diabetes mellitus: Type 1 diabetes is managed with insulin therapy. Methylprednisolone does not treat the underlying autoimmune destruction of pancreatic beta cells and can actually worsen glycemic control due to its hyperglycemic effects.
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