What is a common side effect for captopril?
Hypokalemia
Lower extremity edema
Hypertension
Dry cough
The Correct Answer is D
Choice A reason: This statement is false. Captopril does not cause hypokalemia, which is a condition where the potassium level is too low. Captopril is an angiotensin converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It can actually cause hyperkalemia, which is a condition where the potassium level is too high. Hyperkalemia can cause muscle weakness, irregular heartbeat, or cardiac arrest.
Choice B reason: This statement is false. Captopril does not cause lower extremity edema, which is a swelling of the legs or ankles due to fluid accumulation. Captopril is an angiotensin converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It can actually reduce edema, which is a common symptom of heart failure or kidney disease.
Choice C reason: This statement is false. Captopril does not cause hypertension, which is a condition where the blood pressure is too high. Captopril is an angiotensin converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It can actually treat hypertension, which is a risk factor for cardiovascular diseases, such as stroke or heart attack.
Choice D reason: This statement is true. Captopril can cause dry cough, which is a common and mild side effect of this drug. Captopril is an angiotensin converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. However, it can also affect the metabolism of a substance called bradykinin, which is involved in inflammation and coughing. Captopril can increase the levels of bradykinin in the lungs, which can irritate the airways and cause dry cough. Dry cough is not a serious condition, but it can be annoying and interfere with sleep or daily activities. The cough usually goes away after stopping the drug or switching to another type of blood pressure medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2.5"]
Explanation
To find the number of milliliters that the nurse will draw up for this dose, we need to use the following formula:
Volume = Dose/Concentration
In this case, the dose is 2.5 mg and the concentration is 1 mg/mL. So, we plug in these values into the formula and get:
Volume= 2.5 mg /(1 mg/mL)
To simplify this fraction, we can divide both the numerator and the denominator by the same unit (mg) and get:
Volume = 2.5 /1 mL
Now, we can reduce this fraction by dividing both the numerator and the denominator by their greatest common factor, which is 1, and get:
Volume = 2.5 mL
Therefore, the nurse will draw up 2.5 mL of metoprolol for this dose.
Correct Answer is C
Explanation
Choice A reason: This statement is false. Glucagon is not a drug that the nurse should assess prior to sending the client to radiology, as glucagon is used to treat severe hypoglycemia, which is unlikely to occur during the procedure. Glucagon is an injectable hormone that raises blood glucose levels by stimulating the breakdown of glycogen in the liver.
Choice B reason: This statement is false. Famotidine is not a drug that the nurse should assess prior to sending the client to radiology, as famotidine is used to treat gastroesophageal reflux disease, peptic ulcer disease, or gastritis, which are not related to the procedure. Famotidine is an oral medication that reduces the production of stomach acid by blocking histamine receptors in the stomach.
Choice C reason: This statement is true. Metformin is a drug that the nurse should assess prior to sending the client to radiology, as metformin is used to treat type 2 diabetes, which can interact with the contrast dye used in the procedure. Metformin is an oral medication that lowers blood glucose levels by decreasing the absorption of glucose in the intestines, increasing the uptake of glucose in the muscles, and reducing the production of glucose in the liver. However, metformin can also cause lactic acidosis, a serious condition that occurs when there is too much acid in the blood. The contrast dye can impair the kidney function and increase the risk of lactic acidosis. Therefore, the nurse should check the client's renal function tests and inform the radiologist if the client is taking metformin. The client may need to stop taking metformin before and after the procedure, depending on the instructions from the prescriber.
Choice D reason: This statement is false. Forge is not a drug that the nurse should assess prior to sending the client to radiology, as forge is not a real medication. It is a misspelling of Forxiga, which is another oral medication used to treat type 2 diabetes. Forxiga works by increasing the excretion of glucose in the urine by inhibiting a protein called sodium-glucose co-transporter 2 in the kidneys. Forxiga does not have a significant interaction with the contrast dye, but the nurse should still monitor the client's blood glucose levels and hydration status before and after the procedure.
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