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","D","E"]
Explanation
Choice A reason: Aspirin is an antiplatelet agent and may not be recommended immediately postprostatectomy due to the risk of bleeding.
Choice B reason: Patients should avoid lifting heavy objects postprostatectomy to prevent strain on the surgical site.
Choice C reason: Resuming sexual intercourse should be discussed with the healthcare provider, as it typically requires a longer recovery period.
Choice D reason: Showering is recommended over taking a tub bath to prevent infection at the surgical site.
Choice E reason: Observing blood in the urine after coughing may occur as the surgical area heals, but it should be monitored for any signs of complications.
Correct Answer is B
Explanation
Choice A reason: Peripheral edema is not typically a sign of anaphylaxis; it is more commonly associated with other conditions such as heart failure or venous insufficiency.
Choice B reason: Pruritus, or itching, is a common symptom of an allergic reaction and can be an early sign of anaphylaxis.
Choice C reason: Pallor may occur during anaphylaxis, but it is not as specific a symptom as pruritus.
Choice D reason: Hypertension is not a symptom of anaphylaxis; in fact, hypotension is more commonly associated with this condition.
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