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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: Remaining upright for 30 minutes after eating may help with digestion, but it is not specific to the management of dumping syndrome.

Choice B reason: Eliminating simple sugars is crucial in the management of dumping syndrome as they can cause rapid gastric emptying, leading to symptoms.

Choice C reason: Eating three large meals per day is not recommended for dumping syndrome; smaller, more frequent meals are advised to prevent symptoms.

Choice D reason: Drinking water with meals can exacerbate symptoms of dumping syndrome by increasing the speed of gastric emptying; it is better to drink fluids between meals.

A. Set the degree of flexion and extension as tolerated by the client. B. Align the client's joints with the joints on the frame. C. Pad the CPM device with a thick pillow. D. Place the client in high Fowler’s position.

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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