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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Albumin and furosemide treat fluid shifts or edema, not acute diverticulitis, which requires bowel rest, not volume or protein correction initially.
Choice B reason: High fiber aids chronic diverticulosis, but in acute diverticulitis, it worsens inflammation; rest, not fiber, is needed during active infection.
Choice C reason: NPO and IV fluids rest the bowel, reducing inflammation and perforation risk in acute diverticulitis, while maintaining hydration, the standard approach.
Choice D reason: Barium enema risks perforation in acute diverticulitis due to inflamed diverticula; it’s contraindicated until inflammation subsides, not ordered acutely.
Correct Answer is A
Explanation
Choice A reason: Total output is hemodialysis (4000 mL) + Jackson Pratt (20 mL) + urine (100 mL) + nasogastric (325 mL) = 4445 mL, accurately summing all fluid losses recorded.
Choice B reason: 4000 mL only accounts for hemodialysis, ignoring Jackson Pratt (20 mL), urine (100 mL), and nasogastric (325 mL), underestimating total output significantly.
Choice C reason: 4250 mL likely omits nasogastric (325 mL) or miscalculates, as 4000 + 20 + 100 + 325 = 4445 mL, missing part of the recorded fluid loss.
Choice D reason: 4500 mL overestimates; 4000 + 20 + 100 + 325 = 4445 mL, suggesting an error in adding an extra 55 mL not documented in outputs.
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