Which medication is contraindicated in patients with a history of angioedema or patients with swelling on their lips?

Losartan

Atenolol

Clopidogrel

Lisinopril

Answer and Explanation

The Correct Answer is D

A. Losartan: Losartan is an angiotensin II receptor blocker (ARB). While ARBs can rarely cause angioedema, the risk is much lower compared to ACE inhibitors. They are often prescribed as alternatives when patients cannot tolerate ACE inhibitors due to angioedema.

B. Atenolol: Atenolol is a beta-blocker used for hypertension and cardiac conditions. It is not associated with angioedema and does not carry a contraindication for patients with this history.

C. Clopidogrel: Clopidogrel is an antiplatelet agent that prevents clot formation. It is not linked to angioedema and does not pose a contraindication for clients with prior swelling of the lips.

D. Lisinopril: Lisinopril is an ACE inhibitor, and this class of drugs is strongly associated with angioedema due to increased bradykinin levels. A history of angioedema or lip swelling is a clear contraindication to its use.

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Correct Answer is C

Explanation

A. Check the expiry date of the feeding formula: While confirming the formula is within its expiration date is important to prevent infection or spoilage, it does not directly prevent the most serious risk associated with enteral feeding.

B. Flush the tube with water before and after feeding: Flushing the tube maintains patency and prevents clogging, which is important for long-term tube care but does not address immediate patient safety.

C. Ensure the feeding tube is correctly positioned before starting the feeding: Verifying correct tube placement is the most critical safety measure because improper positioning can result in aspiration, pneumonia, or feeding into the lungs, which can be life-threatening.

D. Administer the feeding at room temperature: Feeding at room temperature improves tolerance and reduces gastrointestinal discomfort, but it does not prevent severe complications like aspiration, making it secondary to verifying tube placement.

A. Use nonverbal gestures to assure the client that the procedure is safe and will help him. B. Tell the client that he will receive written information in his language after the procedure. C. Have a medical interpreter present during the teaching. D. Ask a family member to translate.

Correct Answer is C

Explanation

A. Use nonverbal gestures to assure the client that the procedure is safe and will help him: Nonverbal gestures may provide comfort but cannot effectively convey detailed information about a therapeutic procedure, risks, or consent.

B. Tell the client that he will receive written information in his language after the procedure: Providing written materials after the procedure does not allow the client to give informed consent beforehand. Teaching must occur prior to the procedure to ensure comprehension.

C. Have a medical interpreter present during the teaching: Using a professional medical interpreter ensures accurate, clear communication regarding the procedure, its risks, benefits, and alternatives. This approach promotes informed consent and respects the client’s autonomy while minimizing miscommunication.

D. Ask a family member to translate: Family members may introduce bias, omit details, or misunderstand medical terminology, which can compromise informed consent. Professional interpreters are preferred to maintain accuracy, confidentiality, and safety during education.

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Which medication is contraindicated in patients with a history of angioedema or patients with swelling on their lips?

Nursing Test Bank

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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