A 27 year old female client has a new prescription for captopril. What will the nurse be sure to include in the patient teaching?

Notify the provider immediately if you become pregnant

If you develop facial swelling, start taking only half the dose

Always take this medication with food or milk

This medication may cause anaphylaxis, so you must carry an epi pen

Answer and Explanation

The Correct Answer is A

Choice A reason: This choice is correct because captopril is an angiotensin-converting enzyme (ACE) inhibitor that can cause fetal harm or death if used during pregnancy. Captopril can affect the development of the baby's kidneys, lungs, skull, and blood vessels. The nurse should advise the patient to use effective contraception while taking captopril and to inform the provider as soon as possible if she becomes pregnant or plans to become pregnant. The provider may switch the patient to a safer medication for blood pressure control during pregnancy.

Choice B reason: This choice is incorrect because facial swelling is a serious side effect of captopril that may indicate angioedema, a life-threatening allergic reaction that causes swelling of the face, lips, tongue, throat, or airway. The nurse should instruct the patient to stop taking captopril and seek emergency medical attention if she develops facial swelling or any signs of difficulty breathing, such as wheezing, stridor, or cyanosis. Reducing the dose of captopril will not prevent or treat angioedema.

Choice C reason: This choice is incorrect because captopril can be taken with or without food, depending on the patient's preference and tolerance. Food may decrease the absorption of captopril, but this effect is not clinically significant for most patients. The nurse should advise the patient to take captopril at the same time each day, preferably one hour before meals, to maintain consistent blood levels and effects.

Choice D reason: This choice is incorrect because captopril is unlikely to cause anaphylaxis, a severe and potentially fatal allergic reaction that involves multiple organ systems. Anaphylaxis can cause symptoms such as hives, itching, flushing, swelling, nausea, vomiting, diarrhea, abdominal pain, low blood pressure, fast heart rate, and shock. The nurse should instruct the patient to carry an epi pen only if she has a history of anaphylaxis or a severe allergy to another substance. .

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Free Nursing Study Resources

Correct Answer is ["8"]

Explanation

To calculate the amount of belimumab that the nurse should administer, we can use the following steps:

Convert the patient's weight from pounds to kilograms.

Multiply the patient's weight in kilograms by the dosage of belimumab (10 mg/kg) to find the total dosage required.

Determine the volume of the drug needed using the concentration of the available belimumab solution.

Given:

Patient's weight = 136 lb

Dosage of belimumab = 10 mg/kg

Available concentration of belimumab = 80 mg/mL

Let's calculate step by step:

Convert patient's weight from pounds to kilograms:

Patient's weight in kg = 136 lb × (1 kg / 2.2 lb) ≈ 61.8 kg

Calculate the total dosage required:

Total dosage = 10 mg/kg × 61.8 kg ≈ 618 mg

Determine the volume of the drug needed using the concentration of the available belimumab solution:

Volume of drug = Total dosage / Concentration of belimumab

Volume of drug = 618 mg / 80 mg/mL ≈ 7.7 mL

Rounding to the nearest whole number, the nurse should administer 8 mL of the belimumab.

Correct Answer is ["750"]

Explanation

To calculate the infusion rate for the first 8 hours, we can use the following formula:

Infusion rate (mL/hr) = (Volume to be infused / Time for infusion)

First, we need to find the volume to be infused in the first 8 hours:

Volume for the first 8 hours = Total volume / 2 = 12 L / 2 = 6 L = 6000 mL

Now we can calculate the infusion rate for the first 8 hours:

Infusion rate = 6000 mL / 8 hr = 750 mL/hr

Therefore, the nurse should set the IV pump to deliver 750 mL/hr during the first 8 hours.

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A 27 year old female client has a new prescription for captopril. What will the nurse be sure to include in the patient teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer belimumab 10 mg/kg via intermittent IV bolus to a client who weighs 136 lb. Available is belimumab 80 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["8"]

Explanation

Correct Answer is ["750"]

Explanation

A nurse is obtaining a medication history from a client who reports taking 1 oz of magnesium hydroxide daily as a laxative. The nurse should identify that this dose equates to how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

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