The nurse is educating a client on the possible side effects associated with quinapril (Accupril). Which of the following side effects are associated with this medication classification? (Select All that Apply)

hypokalemia

first dose phenomenon

hepatotoxicity

dry nonproductive cough

orthostatic hypotension

Answer and Explanation

Correct Answer : B,D,E

A. Hypokalemia is not typically associated with ACE inhibitors like quinapril; rather, hyperkalemia (increased potassium levels) is a concern.

B. First dose phenomenon refers to significant hypotension that can occur after the first dose of an ACE inhibitor and should be monitored.

C. Hepatotoxicity is not a common side effect of ACE inhibitors.

D. A dry non-productive cough is a common side effect of ACE inhibitors, including quinapril.

E. Orthostatic hypotension can occur with ACE inhibitors, especially after the initial dose, making patient education important.

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Correct Answer is C

Explanation

A. Lung function tests are not relevant to atorvastatin therapy; they are more commonly associated with medications affecting the respiratory system.

B. Platelet counts are not routinely monitored for patients on atorvastatin unless there are specific concerns related to bleeding or clotting.

C. Liver function tests are critical for patients on atorvastatin because the medication can cause liver enzyme elevations, indicating potential hepatotoxicity. Routine monitoring ensures early detection of any liver complications.

D. Hemoglobin levels are not specifically related to atorvastatin use and are generally monitored in contexts involving anemia or bleeding.

A. Hypokalemia and vomiting B. Dry, non productive cough C. Epistaxis and headache D. Nausea and vomiting

Correct Answer is B

Explanation

A. Hypokalemia can occur with some antihypertensives, but it is more associated with diuretics rather than ACE inhibitors. Vomiting is not a common side effect.

B. A dry, non-productive cough is a well-known side effect of ACE inhibitors, which the nurse should specifically assess for during follow-up.

C. Epistaxis (nosebleed) and headache are not common or specific side effects associated with ACE inhibitors.

D. Nausea and vomiting can occur with various medications, but they are not specifically indicative of ACE inhibitor use.

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The nurse is educating a client on the possible side effects associated with quinapril (Accupril). Which of the following side effects are associated with this medication classification? (Select All that Apply)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is B

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