The nurse is administering captopril to a client with a diagnosis of heart failure. What type of medication does the nurse infer the client is taking?

An angiotensin receptor blocker (ARB)

A calcium channel blocker

An angiotensin converting enzyme inhibitor (ACE) inhibitor

A thiazide diuretic

Answer and Explanation

The Correct Answer is C

A. An angiotensin receptor blocker (ARB): ARBs, such as losartan or valsartan, block the angiotensin II receptor but are pharmacologically distinct from ACE inhibitors. Captopril is not classified in this drug group.
B. A calcium channel blocker: Calcium channel blockers, such as amlodipine, reduce blood pressure by relaxing vascular smooth muscle. Captopril does not function through calcium channel modulation and is unrelated to this class.
C. An angiotensin converting enzyme inhibitor (ACE) inhibitor: Captopril is an ACE inhibitor that lowers blood pressure and reduces afterload by inhibiting the conversion of angiotensin I to angiotensin II. It is commonly prescribed for heart failure management to improve cardiac output and prevent fluid overload.
D. A thiazide diuretic: Thiazide diuretics like hydrochlorothiazide promote sodium and water excretion. They help manage hypertension but work differently from captopril, which targets the renin-angiotensin-aldosterone system.

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Correct Answer is B

Explanation

A. "I have gained a lot of weight.": Weight gain can occur with binge eating disorder but is not diagnostic by itself. Many factors can contribute to weight gain, and it doesn’t confirm disordered eating patterns.
B. "I eat even when I am not hungry.": Binge eating disorder is characterized by recurrent episodes of consuming large amounts of food, often without physical hunger. This behavior reflects loss of control over eating and is a key diagnostic feature.
C. "I eat slowly but consistently throughout the day.": This pattern suggests grazing, not binge eating. Binge episodes typically involve eating rapidly, in secret, and until uncomfortably full, which is not described here.
D. "I always feel guilty after I overeat.": Feelings of guilt may accompany binge eating, but emotional response alone is not diagnostic. The behavioral pattern of eating large amounts when not hungry is more definitive of the disorder.

A. "Do you eat three meals per day?" B. "Who eats meals with you?" C. "Do you snack in the evening?" D. "How do you prepare your food?"

Correct Answer is D

No explanation

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The nurse is administering captopril to a client with a diagnosis of heart failure. What type of medication does the nurse infer the client is taking?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client has just been diagnosed with binge eating disorder. Which statement by the client is most indicative of this diagnosis?

Correct Answer is B

Explanation

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Correct Answer is D

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