A patient who has recently begun taking captopril (Capoten) to treat HTN calls a clinic to report a persistent cough.
The nurse will perform which action?

Reassure the client that this is nothing to worry about and will diminish over time.

Tell the patient to stop taking the drug immediately as this is a serious side effect of the drug.

Schedule an appointment with the provider to discuss changing to an ARB.

Instruct the patient to go to the emergency room immediately as this is a hypersensitivity reaction.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Reassuring the client without addressing the persistent cough would not be appropriate as it may signal a need for a different medication. The ACE inhibitor captopril can cause a bothersome, persistent cough in some patients due to increased bradykinin levels.

Choice B rationale

Instructing the patient to stop the medication immediately is not advised without consulting the healthcare provider. While the cough is a known side effect, stopping the medication abruptly may lead to unmanaged hypertension.

Choice C rationale

Scheduling an appointment with the provider to discuss changing to an angiotensin II receptor blocker (ARB) is appropriate. ARBs do not typically cause a persistent cough, making them a suitable alternative for patients who experience this side effect with ACE inhibitors.

Choice D rationale

Instructing the patient to go to the emergency room immediately is unnecessary as the persistent cough is a common side effect of ACE inhibitors and not an emergency situation. Emergency action is warranted for symptoms of angioedema, such as swelling of the face or throat.

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Correct Answer is D

Explanation

Choice A rationale

While a complete blood count (CBC) is an essential lab value for monitoring many conditions and potential side effects, it is not the primary concern when administering high doses of azithromycin, especially with co-administration of acetaminophen. The focus should be on liver function.

Choice B rationale

Urinalysis is useful in diagnosing and monitoring various conditions but is not directly relevant to monitoring the side effects of azithromycin and acetaminophen. These medications do not typically cause urinary abnormalities that would necessitate frequent urinalysis.

Choice C rationale

Electrolytes are not directly affected by azithromycin and acetaminophen use. Although monitoring electrolytes can be essential in broader contexts, these specific medications do not primarily impact electrolyte balance requiring focused monitoring.

Choice D rationale

Liver enzymes are the key lab values to monitor when administering high doses of azithromycin and acetaminophen. Both medications are metabolized by the liver and can cause hepatotoxicity. Monitoring liver enzymes helps in detecting early signs of liver damage and preventing further complications.

A. True. B. False.

Correct Answer is A

Explanation

Choice A rationale

Drawing up regular insulin first is recommended to avoid contamination of the vial with other types of insulin.

Choice B rationale

Incorrect, as it is standard practice to draw up regular insulin first to maintain purity and efficacy.

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A patient who has recently begun taking captopril (Capoten) to treat HTN calls a clinic to report a persistent cough.The nurse will perform which action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient who is receiving a high dose of intravenous azithromycin to treat an infection.The patient is also taking acetaminophen for pain.The nurse should expect to review which lab value when monitoring for this drug side effect?

Correct Answer is D

Explanation

Always draw up the regular insulin into the syringe first.

Correct Answer is A

Explanation

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A patient who has recently begun taking captopril (Capoten) to treat HTN calls a clinic to report a persistent cough.
The nurse will perform which action?