What is a common side effect for captopril?
Hypokalemia
Lower extremity edema
Hypertension
Dry cough
The Correct Answer is D
Choice A reason: This statement is false. Captopril does not cause hypokalemia, which is a condition where the potassium level is too low. Captopril is an angiotensin converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It can actually cause hyperkalemia, which is a condition where the potassium level is too high. Hyperkalemia can cause muscle weakness, irregular heartbeat, or cardiac arrest.
Choice B reason: This statement is false. Captopril does not cause lower extremity edema, which is a swelling of the legs or ankles due to fluid accumulation. Captopril is an angiotensin converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It can actually reduce edema, which is a common symptom of heart failure or kidney disease.
Choice C reason: This statement is false. Captopril does not cause hypertension, which is a condition where the blood pressure is too high. Captopril is an angiotensin converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It can actually treat hypertension, which is a risk factor for cardiovascular diseases, such as stroke or heart attack.
Choice D reason: This statement is true. Captopril can cause dry cough, which is a common and mild side effect of this drug. Captopril is an angiotensin converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. However, it can also affect the metabolism of a substance called bradykinin, which is involved in inflammation and coughing. Captopril can increase the levels of bradykinin in the lungs, which can irritate the airways and cause dry cough. Dry cough is not a serious condition, but it can be annoying and interfere with sleep or daily activities. The cough usually goes away after stopping the drug or switching to another type of blood pressure medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A reason: This statement is true. The nurse should include tremors as a sign of hypoglycemia, which is a condition where the blood glucose level is too low. Tremors are involuntary shaking or trembling of the body, caused by the release of adrenaline in response to low blood glucose.
Choice B reason: This statement is true. The nurse should include diaphoresis as a sign of hypoglycemia, which is excessive sweating, caused by the activation of the sympathetic nervous system in response to low blood glucose.
Choice C reason: This statement is true. The nurse should include confusion as a sign of hypoglycemia, which is impaired mental function, caused by the lack of glucose supply to the brain.
Choice D reason: This statement is false. The nurse should not include polyuria as a sign of hypoglycemia, which is increased urination, caused by the excess glucose in the urine. Polyuria is more common with hyperglycemia, which is a condition where the blood glucose level is too high.
Choice E reason: This statement is false. The nurse should not include polydipsia as a sign of hypoglycemia, which is increased thirst, caused by the dehydration from polyuria. Polydipsia is also more common with hyperglycemia, which is a condition where the blood glucose level is too high.
Correct Answer is B
Explanation
Choice A reason: This statement is false. The nurse should not hold glipizide, as it is an oral antidiabetic drug that lowers blood glucose by stimulating the release of insulin from the pancreas. The client has a normal blood glucose level, which can be maintained by taking the glipizide as ordered. The nurse should also encourage the client to follow a balanced diet and exercise regimen.
Choice B reason: This statement is true. The nurse should check the apical heart rate prior to captopril, as it is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. However, it can also cause bradycardia, which is a slow heart rate. The nurse should hold the captopril and notify the prescriber if the heart rate is below 60 beats per minute.
Choice C reason: This statement is false. The nurse should not give atenolol as ordered, as it is a beta-blocker that lowers blood pressure and heart rate. It can also prevent angina and reduce the risk of heart attack. The client has a slightly elevated blood pressure and a normal heart rate, which can be expected after surgery. The nurse should monitor the client's vital signs and adjust the dose accordingly.
Choice D reason: This statement is false. The nurse should not call the prescriber and ask to change atorvastatin to gemfibrozil, as they are both lipid-lowering drugs that reduce cholesterol and triglycerides. However, they have different mechanisms of action and side effects. Atorvastatin is a statin that inhibits the enzyme that produces cholesterol in the liver. Gemfibrozil is a fibrate that activates the enzyme that breaks down triglycerides in the blood. The nurse should administer the atorvastatin as ordered and monitor the client's liver function and lipid profile.
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