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 D

Explanation

A. A pulse oximetry of 92% indicates potential hypoxia but is not a direct contraindication for administering verapamil.

B. A respiratory rate of 12 is not an immediate concern for verapamil; it is considered a normal rate in many cases.

C. A recent history of myocardial infarction does not automatically contraindicate verapamil but should be assessed in the context of the client’s overall health and physician’s orders.

D. A pulse of 78 is within a normal range; however, if the pulse were significantly low (e.g., below 60 bpm), verapamil would generally be held due to its potential to further decrease heart rate.

A. "Depending on the level of your PT/INR, the clot will begin to dissolve." B. "Heparin goes not dissolve clots. It stops new clots from forming" C. "It usually takes heparin at least 2 to 3 days to reach a therapeutic blood level." D. "After the first dose, the clot will begin to dissolve."

Correct Answer is B

Explanation

A. PT/INR is more relevant for monitoring anticoagulant therapy like warfarin, not heparin.

B. This response is accurate; heparin prevents further clot formation but does not dissolve existing clots, which can take time for the body to reabsorb.

C. Heparin begins to exert its effects quickly, and therapeutic levels are not measured by PT/INR but by aPTT or anti-factor Xa levels.

D. Clots do not dissolve immediately after the first dose of heparin; the medication's role is to prevent clot extension.

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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

A client presents to the healthcare setting and ordered verapamil (Calan) to treat his hypertension. Which assessment finding by the nurse would determine if the medication should be held?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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