ACE inhibitors work on the RAAS to prevent the conversion of angiotensin I to angiotensin II. Because this blocking occurs in the cells in the lung, which is usually the site of this conversion, the use of ACE inhibitors often results in

unrelenting cough.

respiratory depression.

spontaneous pneumothorax.

pneumonia.

Answer and Explanation

The Correct Answer is A

This is the correct response. ACE inhibitors are known to cause a persistent, dry, and irritating cough in some individuals. This adverse effect occurs due to the accumulation of bradykinin and other substances in the lungs, leading to increased sensitivity of the cough reflex. The cough typically resolves upon discontinuation of the ACE inhibitor.

B) Respiratory depression:
Respiratory depression is not a common side effect of ACE inhibitors. ACE inhibitors do not directly affect respiratory drive or function in the central nervous system. Therefore, this option is incorrect.

C) Spontaneous pneumothorax:
Spontaneous pneumothorax is not a typical adverse effect associated with ACE inhibitor use. ACE inhibitors do not directly cause the development of pneumothorax, which is characterized by the presence of air in the pleural space. Therefore, this option is incorrect.

D) Pneumonia:
While ACE inhibitors can increase the risk of respiratory infections due to their effect on the immune system, pneumonia is not a specific adverse effect associated with ACE inhibitor use. Pneumonia is typically caused by infectious agents such as bacteria, viruses, or fungi, rather than being a direct effect of ACE inhibitors. Therefore, this option is incorrect.”

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Free Nursing Study Resources

Correct Answer is ["32"]

Explanation

Find the concentration of heparin in the solution:

Total heparin (units): 25,000 units

Volume of solution (mL): 500 mL

Heparin concentration (units/mL) = Total heparin (units) / Volume of solution (mL)

Heparin concentration (units/mL) = 25,000 units / 500 mL = 50 units/mL

Set up the flow rate equation:

Desired heparin infusion rate (units/hr): 1600 units/hr

Heparin concentration in solution (units/mL): 50 units/mL

Flow rate (mL/hr): We need to solve for this

Flow rate (mL/hr) = Desired heparin infusion rate (units/hr) / Heparin concentration (units/mL)

Calculate the flow rate (mL/hr):

Flow rate (mL/hr) = 1600 units/hr / 50 units/mL = 32 mL/hr (round to nearest whole number as requested)

Therefore, the nurse should set the IV pump to deliver approximately 32 mL/hr.

A. Take this medication with food. B. Monitor for a cough. C. Avoid bananas D. Hold medication for heart rate less than 100/min.

Correct Answer is B

Explanation

A) Take this medication with food:
Captopril is an ACE inhibitor, known to work best on an empty stomach. Food can reduce its absorption, impacting its effectiveness. Thus, while clients can take captopril with or without food, it's generally recommended to take it on an empty stomach for optimal results.

B) Monitor for a cough:
Captopril, an ACE inhibitor, commonly induces a persistent, dry cough due to the accumulation of bradykinin. This side effect can be bothersome and may necessitate discontinuation of the medication. Therefore, patients should be vigilant for the onset of a cough and promptly report it to their healthcare provider.

C) Avoid bananas:
Although captopril can occasionally lead to hyperkalemia, advising patients to avoid bananas specifically may not be necessary. While bananas are potassium-rich, restricting them alone might not significantly impact potassium levels. However, patients should be educated on monitoring potassium intake and informed of potential dietary modifications if hyperkalemia occurs.

D) Hold medication for heart rate less than 100/min:
Captopril is not known to directly affect heart rate. This instruction may be more applicable to medications like beta-blockers, which can lower heart rate as part of their mechanism of action. Therefore, holding captopril for heart rates below 100/min may not be clinically indicated.

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ACE inhibitors work on the RAAS to prevent the conversion of angiotensin I to angiotensin II. Because this blocking occurs in the cells in the lung, which is usually the site of this conversion, the use of ACE inhibitors often results in

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["32"]

Explanation

A nurse is teaching a client who has a new prescription for captopril. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

ACE inhibitors work on the RAAS to prevent the conversion of angiotensin I to angiotensin II. Because this blocking occurs in the cells in the lung, which is usually the site of this conversion, the use of ACE inhibitors often results in

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