Order: 250 mL. Normal saline bolus IV over 30 minutes

On hand: 1L normal saline bags

W/hat rate will the nurse set the pump to deliver the fluid?

Choice A reason: This statement is false. Captopril does not cause hypokalemia, which is a condition where the potassium level is too low. Captopril is an angiotensin converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It can actually cause hyperkalemia, which is a condition where the potassium level is too high. Hyperkalemia can cause muscle weakness, irregular heartbeat, or cardiac arrest.

Choice B reason: This statement is false. Captopril does not cause lower extremity edema, which is a swelling of the legs or ankles due to fluid accumulation. Captopril is an angiotensin converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It can actually reduce edema, which is a common symptom of heart failure or kidney disease.

Choice C reason: This statement is false. Captopril does not cause hypertension, which is a condition where the blood pressure is too high. Captopril is an angiotensin converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It can actually treat hypertension, which is a risk factor for cardiovascular diseases, such as stroke or heart attack.

Choice D reason: This statement is true. Captopril can cause dry cough, which is a common and mild side effect of this drug. Captopril is an angiotensin converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. However, it can also affect the metabolism of a substance called bradykinin, which is involved in inflammation and coughing. Captopril can increase the levels of bradykinin in the lungs, which can irritate the airways and cause dry cough. Dry cough is not a serious condition, but it can be annoying and interfere with sleep or daily activities. The cough usually goes away after stopping the drug or switching to another type of blood pressure medication.

Choice A reason: This statement is false. INR level is not a priority assessment for a patient receiving digoxin, as digoxin is not an anticoagulant. INR level is used to monitor the effects of warfarin, which is a different medication.

Choice B reason: This statement is true. Apical heart rate is a priority assessment for a patient receiving digoxin, as digoxin can affect the cardiac rhythm and contractility. The nurse should check the apical heart rate for one full minute before administering digoxin, and hold the dose if the rate is below 60 beats per minute or above 100 beats per minute.

Choice C reason: This statement is false. Blood pressure is not a priority assessment for a patient receiving digoxin, as digoxin does not have a significant effect on blood pressure. Blood pressure is more relevant for other medications used to treat heart failure, such as diuretics, angiotensin-converting enzyme inhibitors, or beta-blockers.

Choice D reason: This statement is false. Temperature is not a priority assessment for a patient receiving digoxin, as digoxin does not cause fever or hypothermia. Temperature is more indicative of an infection or inflammation, which may worsen the condition of heart failure.