The client is a 54-year-old male with a history of hypertension and type 2 diabetes. He takes spironolactone 25 mg per day, metformin 500 mg twice a day, and 25 units of insulin glargine.

The nurse notifies the provider that the client is having trouble remembering to take his second dose of captopril.

Which ACE inhibitors can be given only once per day? Select all that apply

Captopril

Ramipril

Lisinopril

Quinapril

Trandolapril

Answer and Explanation

Correct Answer : B,C,D,E

ACE inhibitors are a class of medications used to treat conditions like hypertension and heart failure. Some ACE inhibitors are available in formulations that can be given once daily, which can improve compliance and convenience for patients. The ACE inhibitors listed above (Ramipril, Lisinopril, Quinapril, and Trandolapril) have once-daily dosing options. Captopril, on the other hand, is typically administered two to three times a day, so it is not a once-daily option.

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Correct Answer is ["A","B"]

Explanation

Given the client's history of hypertension and type 2 diabetes, and the medications they are taking, the most appropriate labs for monitoring their health would be:

B. Kidney function test - This is important because the client is on spironolactone, which can affect kidney function, and they have a history of hypertension and diabetes, both of which can impact kidney health.

A. Electrolyte panel - Since the client is on spironolactone, which can affect electrolyte balance, it's essential to monitor electrolyte levels regularly, especially potassium levels.

While the other labs (C, D, E, F) may be relevant in different clinical contexts, they are not as directly related to the client's current medications and medical history as kidney function and electrolyte levels.

A. Ask the client to rate the current level of pain using a pain scale. B. Review the history for a past use of recreational drugs. C. Encourage the client to use diversional thoughts to manage pain. D. Determine when the last dose was administered.

Correct Answer is A

Explanation

When a client in the surgical recovery area asks for the largest possible dose of pain medication, the nurse should implement the following action first:

A. Ask the client to rate the current level of pain using a pain scale.

Explanation: Before administering pain medication, it is essential to assess the client's current level of pain. Using a pain scale allows the nurse to understand the severity of the pain and tailor the medication dosage accordingly. This assessment helps ensure that the client receives an appropriate and safe dose of pain medication.

Why the other choices are not the first action to take:

B. Review the history for a past use of recreational drugs:

While assessing a client's history, including past drug use, is important, it is not the immediate priority when a client is requesting pain medication. Pain assessment and management should come first.

C. Encourage the client to use diversional thoughts to manage pain:

Diversional thoughts and non-pharmacological pain management strategies can be helpful, but they should not be the initial response when a client is in acute pain and requesting medication.

D. Determine when the last dose was administered:

While it is important to know when the last dose of pain medication was given, this information is typically obtained after assessing the client's current pain level. Assessing pain intensity and then reviewing medication history and administration times is a logical sequence of actions.

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Laboratory Test	Result	reference range
Serum Creatinine	1 mg/dl (88.4 μmol/L)	0.5-1.1 mg/dL (44-97 μmol/L)
BUN	9 mg/dl. (3.2 mmol/L)	10-20 mg/dl. (3.6-7.1 mmol/L)
Sodium	136 mEq/L (136 mmol/L)	136 to 145 mEq/L (136 to 145 mmol/L)
Potassium	6.1 mEq/L (6.1 mmol/L)	3.5 to 5 mEq/L (3.5 to 5 mmol/L)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B"]

Explanation

A client in the surgical recovery area asks the nurse to bring the largest possible dose of pain medication available. Which action should the nurse implement first?

Correct Answer is A

Explanation

A client receives a new prescription for montelukast. Which information should the nurse include in the client's teaching?

A client receives a new prescription for levothyroxine. Which statement made by client indicates to the nurse the education was effective?

A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The nurse should assess the client for the onset of which problem?

The nurse is planning to administer the antiulcer gastrointestinal (GI) agent sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this client's plan of care?

A client with heart failure (HF) develops hyperaldosteronism and spironolactone is prescribed. Which instruction should the nurse include in this client's plan of care?