A nurse is assessing a client who has hypertension and is taking an angiotensin-converting enzyme (ACE) inhibitor. Which of the following findings should the nurse report to the provider?
A dry cough
A heart rate of 72/min
A serum potassium level of 5.2 mEq/L
A blood pressure of 130/80 mm Hg.
The Correct Answer is C
A serum potassium level of 5.2 mEq/L. The nurse should report this finding to the provider because it indicates hyperkalemia, which is a potential adverse effect of ACE inhibitors. Hyperkalemia can cause cardiac arrhythmias and muscle weakness, and it requires prompt treatment.
Choice A is wrong because a dry cough is a common and benign side effect of ACE inhibitors. It does not indicate a serious problem and does not require reporting to the provider.
Choice B is wrong because a heart rate of 72/min is within the normal range of 60 to 100 beats per minute. It does not indicate any adverse effect of ACE inhibitors or hypertension.
Choice D is wrong because a blood pressure of 130/80 mm Hg is within the target range for a client who has hypertension. It indicates that the ACE inhibitor is effective in lowering the blood pressure and does not require reporting to the provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Hydrochlorothiazide is a thiazide diuretic that lowers blood pressure by increasing urine output. However, it also causes potassium loss, which can lead to muscle weakness and fatigue.Therefore, the client should consume foods that are rich in potassium, such as bananas, oranges, potatoes, and spinach.
Choice A is wrong because drinking more fluids can increase blood volume and blood pressure, which is not desirable for a client who has hypertension.Dehydration is not a common side effect of hydrochlorothiazide.
Choice C is wrong because hydrochlorothiazide does not affect blood sugar levels directly. However, it can interact with some antidiabetic medications and increase the risk of hypoglycemia.Therefore, the client should monitor blood sugar levels regularly if taking both medications.
Choice D is wrong because hydrochlorothiazide does not increase sensitivity to sunlight. However, it can cause photosensitivity reactions in some clients, such as rash, itching, or redness of the skin. Therefore, the client should use sunscreen and wear protective clothing when exposed to sunlight.
Correct Answer is C
Explanation
Oatmeal is a good source of soluble fiber, which can help lower cholesterol levels and blood pressure. Oatmeal also has a low glycemic index, which means it does not cause rapid spikes in blood sugar levels. A client who has hypertension and hyperlipidemia should avoid foods that are high in saturated fat, sodium, and sugar, as they can worsen these conditions.
Choice A is wrong because whole milk is high in saturated fat, which can increase cholesterol levels and the risk of cardiovascular disease. A client who has hypertension and hyperlipidemia should choose low-fat or skim milk instead.
Choice B is wrong because salted nuts are high in sodium, which can increase blood pressure and fluid retention. A client who has hypertension and hyperlipidemia should choose unsalted nuts or seeds, which are rich in healthy fats, protein, and fiber.
Choice D is wrong because bacon is high in saturated fat, sodium, and nitrates, which can increase cholesterol levels, blood pressure, and inflammation. A client who has hypertension and hyperlipidemia should limit or avoid processed meats and choose lean sources of protein instead.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.