A nurse is caring for an older adult client who has a prescription for captopril.
For which of the following possible adverse effects should the nurse instruct the client to notify the provider immediately?.
Sore throat
Headache.
Stuffy nasal passages.
Metallic taste.
The Correct Answer is A
Choice A rationale:
Sore throat can be a sign of neutropenia, a condition characterized by low levels of neutrophils, which are white blood cells that help fight off infections. This is a serious side effect of captopril and requires immediate medical attention.
Choice B rationale:
Headache is a common side effect of many medications, including captopril, but it is not usually a cause for concern.
Choice C rationale:
Stuffy nasal passages are not typically associated with captopril use.
Choice D rationale:
Metallic taste is a common side effect of captopril, but it is not usually a cause for concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Flumazenil is used to reverse the effects of benzodiazepines, not opioids like fentanyl.
Choice B rationale:
Naloxone is an opioid antagonist that can quickly reverse an opioid overdose, including fentanyl.
Choice C rationale:
Protamine is used to reverse the effects of heparin, a blood thinner, not opioids.
Choice D rationale:
Atropine is used to treat bradycardia and symptoms of nerve gas exposure, not opioid toxicity.
Correct Answer is B
Explanation
The correct answer is choice B. Peripheral edema of the ankles.
Choice A rationale:
A blood pressure of 148/94 mm Hg is elevated, but it is not an immediate contraindication for administering nifedipine. Nifedipine is often used to treat hypertension.
Choice B rationale:
Peripheral edema is a common side effect of nifedipine and can indicate worsening fluid retention. The nurse should contact the provider to assess the need for adjusting the medication or implementing additional interventions.
Choice C rationale:
A heart rate of 66/min is within the normal range (60-100/min) and does not require immediate action before administering nifedipine.
Choice D rationale:
An increased alkaline phosphatase level can indicate liver or bone disease, but it is not directly related to the administration of nifedipine. However, it should be monitored and discussed with the provider.
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