The nurse notifies the healthcare provider (HCP) that the client is having trouble remembering to take his second dose of captopril. What angiotensin-converting enzyme (ACE) inhibitors can be given only once per day? Select all that apply.

Lisinopril

Quinapril

Ramipril

Captopril

Trandolapril

Answer and Explanation

Correct Answer : A,B,C,E

Choice A reason:

Lisinopril is an ACE inhibitor that is commonly prescribed for once-daily dosing. It is effective in managing hypertension and heart failure with a single daily dose, making it convenient for patients who may have difficulty remembering multiple doses12.

Choice B reason:

Quinapril can also be administered once daily. It is used to treat hypertension and heart failure, and its long half-life allows for effective blood pressure control with a single daily dose

Choice C reason:

Ramipril is another ACE inhibitor that can be given once daily. It is used for hypertension, heart failure, and to reduce the risk of cardiovascular events. Its pharmacokinetics support once-daily dosing, which helps improve patient adherence.

Choice D reason:

Captopril is typically not given once daily due to its shorter half-life. It usually requires multiple doses throughout the day to maintain effective blood pressure control.

Choice E reason:

Trandolapril is an ACE inhibitor that can be administered once daily. It is used for hypertension and heart failure, and its long duration of action supports once-daily dosing.

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Correct Answer is D

Explanation

Choice A reason:

Applying warm compresses to the legs can help relieve muscle cramps, but it is not the most urgent intervention. Muscle cramps can be a sign of electrolyte imbalances, which are common side effects of furosemide. However, the presence of palpitations and tiredness suggests a more serious issue that needs immediate attention.

Choice B reason:

Monitoring intake and output is important for patients on furosemide to assess fluid balance and kidney function. However, this action does not address the immediate concern of potential cardiac issues indicated by palpitations and tiredness.

Choice C reason:

Raising the head of the bed can help alleviate respiratory symptoms such as a cough, but it does not address the potential cardiac complications. The presence of palpitations and tiredness suggests that cardiac monitoring is a higher priority.

Choice D reason:

Placing the client on cardiac monitoring is the most critical action. Furosemide can cause electrolyte imbalances, leading to arrhythmias and other cardiac issues. Given the symptoms of palpitations and tiredness, immediate cardiac monitoring is essential to detect and manage any potential life-threatening arrhythmias.

Correct Answer is ["37.5"]

Explanation

Step-by-Step Calculation

Step 1: Determine the total amount of magnesium sulfate in the IV bag.

The IV bag contains 4 grams of magnesium sulfate.

Step 2: Convert grams to milligrams.

4 grams × 1000 mg/gram = 4000 mg

Result: The IV bag contains 4000 mg of magnesium sulfate.

Step 3: Determine the concentration of magnesium sulfate in the IV bag.

Concentration = Total amount of magnesium sulfate ÷ Total volume of the IV bag
Concentration = 4000 mg ÷ 500 mL

Result: The concentration is 8 mg/mL.

Step 4: Calculate the infusion rate.

Infusion rate = Prescribed dose ÷ Concentration
Infusion rate = 300 mg/hour ÷ 8 mg/mL

Result: The infusion rate is 37.5 mL/hour.

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The nurse notifies the healthcare provider (HCP) that the client is having trouble remembering to take his second dose of captopril. What angiotensin-converting enzyme (ACE) inhibitors can be given only once per day? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is taking furosemide reports experiencing leg cramps, a cough, feeling tired, and palpitations. Which action should the nurse take first?

Correct Answer is D

Explanation

The healthcare provider prescribes magnesium sulfate 300 mg/hour IV. The IV bag contains magnesium sulfate 4 grams in dextrose 5% in water (D5W) 500 mL. How many mL/hour should the nurse set the infusion pump? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

Correct Answer is ["37.5"]

Explanation

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