A nurse is reviewing the lab work of a client on a medical-surgical unit who has a new prescription for captopril. Which of the following laboratory values should the nurse identify as the priority to monitor?

Alanine aminotransferase

Thyroid-stimulating hormone

Potassium

Magnesium

Answer and Explanation

The Correct Answer is C

A. Monitoring alanine aminotransferase is important for liver function, but it is not the priority for a client on captopril.

B. Thyroid-stimulating hormone is not directly impacted by captopril and is not the priority lab value to monitor in this context.

C. Potassium is the priority laboratory value to monitor because captopril, an ACE inhibitor, can lead to hyperkalemia (elevated potassium levels), which can cause serious cardiac complications.

D. While magnesium levels are important to monitor, they are not specifically related to captopril therapy as potassium levels are.

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Correct Answer is C

Explanation

A. Muscle rigidity of the extremities: This finding is more indicative of hyperkalemia or severe electrolyte imbalances but is not a common symptom of hypokalemia.

B. Bounding radial pulses: This finding is more associated with hypervolemia or hyperkalemia, not with hypokalemia caused by furosemide.

C. Depressed deep tendon reflexes: This is the correct response, as low potassium levels (hypokalemia) can lead to diminished reflexes due to its role in neuromuscular function.

D. Increased bowel motility: This is incorrect, as hypokalemia typically results in decreased bowel motility and may cause constipation rather than increased motility.

A. Have the client take one puff of albuterol B. Have the client rest for 1 min C. Have the client take the second puff of albuterol D. Have the client rest for 5 min E. EHave the client take one puff of fluticasone

Correct Answer is A,B,C,D,E

Explanation

Administering albuterol first is crucial because it is a bronchodilator that will help open the airways before administering the anti-inflammatory fluticasone.
The client should rest for 1 minute between puffs of albuterol to allow for the medication to take effect.
After taking the second puff of albuterol, a longer rest of 5 minutes allows the client to experience the full effects of the bronchodilator.
Finally, administering fluticasone afterward will help reduce inflammation in the airways, maximizing the benefit of both medications.

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A nurse is reviewing the lab work of a client on a medical-surgical unit who has a new prescription for captopril. Which of the following laboratory values should the nurse identify as the priority to monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who started taking furosemide 2 days ago and has a potassium level of 3.1 mEq/L (3.5 to 5 mEq/L). Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is reviewing the medication administration record (MAR) of a client who requires fluticasone MDI one puff and albuterol MDI two puffs. Which of the following actions should the nurse plan to take? Place the following steps in the correct order.

Correct Answer is A,B,C,D,E

Explanation

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