The healthcare provider has ordered captopril for the client diagnosed with congestive heart failure. Which discharge instruction should the nurse include?

Teach the client how to prevent orthostatic hypotension

Explain the importance of taking the medication with food to increase absorption

Instruct the client to take a cough suppressant if a cough develops

Encourage the client to eat foods high in potassium

Answer and Explanation

The Correct Answer is A

Choice A reason: Captopril, an ACE inhibitor, lowers blood pressure, risking orthostatic hypotension; teaching posture changes (slow standing) prevents falls, a key safety instruction.

Choice B reason: Captopril is taken on an empty stomach for optimal absorption, as food reduces bioavailability, so this statement contradicts proper administration guidelines.

Choice C reason: Cough, an ACE inhibitor side effect, doesn’t warrant suppressants; it may require switching drugs, not masking, making this instruction inappropriate.

Choice D reason: Captopril can raise potassium by reducing aldosterone; high-potassium foods risk hyperkalemia, so this advice is unsafe without monitoring levels.

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Correct Answer is C

Explanation

Choice A reason: Stopping speech entirely suggests advanced Alzheimer’s or aphasia, not mild, where memory and task performance decline first, not communication fully.

Choice B reason: Difficulty with toothbrush and comb indicates moderate Alzheimer’s, where motor apraxia emerges, beyond mild stage’s primary memory issues.

Choice C reason: Forgetfulness and slower task completion reflect mild Alzheimer’s early memory loss and executive dysfunction, impairing planning, consistent with initial stages.

Choice D reason: Bladder and bowel incontinence occur in late Alzheimer’s from severe brain damage, not mild, where cognitive, not physical, decline predominates.

A. 1 tablet B. 2 tablets C. 3 tablets D. 4 tablets

Correct Answer is B

Explanation

Choice A reason: 1 tablet (50 mcg) provides half the 100 mcg dose, insufficient for hypothyroidism treatment, underdosing the required thyroid hormone replacement level.

Choice B reason: 2 tablets (50 mcg each) equal 100 mcg, matching the prescribed dose, ensuring adequate T4 replacement for hypothyroidism’s metabolic needs daily.

Choice C reason: 3 tablets (150 mcg) exceed the 100 mcg dose, risking hyperthyroidism symptoms like tachycardia or nervousness from excessive thyroid hormone administration.

Choice D reason: 4 tablets (200 mcg) grossly overdose the 100 mcg requirement, potentially causing severe thyrotoxicosis, disrupting metabolism and cardiac function dangerously.

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The healthcare provider has ordered captopril for the client diagnosed with congestive heart failure. Which discharge instruction should the nurse include?

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Naxlex Comprehensive Predictor Exams

Which statement by the family is consistent with mild Alzheimer’s disease?

Correct Answer is C

Explanation

A nurse is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is B

Explanation

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