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
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. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["4"]
Explanation
To determine how many capsules of rifampin the nurse should administer per dose, we can follow these steps:
Convert the client's weight from pounds to kilograms:
132 lb ÷ 2.2 = 59.9 kg (rounded to one decimal place)
Calculate the total daily dose of rifampin:
20 mg/kg/day × 59.9 kg = 1198 mg/day
Divide the total daily dose into two equal doses for administration:
1198 mg/day ÷ 2 = 599 mg per dose
Calculate the number of capsules needed per dose:
150 mg per capsule
599 mg per dose ÷ 150 mg per capsule = 3.9933...
Rounding to the nearest whole number, the nurse should administer 4 capsules per dose.
Therefore, the nurse should administer 4 capsules of rifampin per dose.
Correct Answer is ["83"]
Explanation
To calculate the IV flow rate in drops per minute, we can use the following formula:
IV flow rate (gtt/min) = (Volume to be infused in mL drop factor) / Time in minutes
Given:
Volume to be infused = 250 mL
Drop factor = 10 gtt/mL
Time = 30 minutes
Using the formula:
IV flow rate = (250 mL 10 gtt/mL) / 30 min
IV flow rate ≈ (2500 gtt) / 30 min
IV flow rate ≈ 83.33 gtt/min
Rounding to the nearest whole number, the nurse should set the manual IV flow rate to deliver 83 gtt/min.
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