A nurse is collecting data from a client who began taking captopril 2 days ago. Which of the following findings should the nurse report to the provider immediately?
Metallic taste
Joint aches
Lip swelling
Dizziness
The Correct Answer is C
Choice A reason: A metallic taste is a common side effect of captopril but is not typically an emergency.
Choice B reason: Joint aches are also a possible side effect of captopril but do not usually require immediate attention unless they are severe or accompanied by other symptoms.
Choice C reason: Lip swelling can be a sign of angioedema, a rapid swelling of the deep layers of the skin and mucosa, which can be serious and warrants immediate medical attention.
Choice D reason: Dizziness can be a side effect of captopril due to its blood pressure lowering effects. While it should be monitored, it is not as urgent as angioedema unless it is severe or accompanied by other symptoms like fainting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Setting the degree of flexion and extension is important, but it must be done after proper alignment to ensure the device is used effectively.
Choice B reason: Aligning the client's joints with the joints on the frame ensures that the CPM device moves the leg correctly and safely.
Choice C reason: Padding the CPM device with a thick pillow is not recommended as it can interfere with the device's movement and the client's positioning.
Choice D reason: Placing the client in high Fowler’s position is not related to the use of a CPM device and is not necessary for its operation.
Correct Answer is D
Explanation
Choice A reason: Applying lotion between the toes is not recommended for clients with diabetes as it can lead to moisture buildup and infection.
Choice B reason: Wearing open toed shoes is not recommended for clients with diabetes due to the risk of injury to the feet.
Choice C reason: Rounding the corners of toenails can lead to ingrown toenails, which is a risk for clients with diabetes.
Choice D reason: Wearing cotton socks is recommended for clients with diabetes as they allow the feet to breathe and reduce the risk of fungal infections.
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