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A nurse is caring for a client who has been taking captopril for one year. Which of the following laboratory values should the nurse review? (Select all that apply.)

A.

Potassium level.

B.

WBC with differential.

C.

BUN level.

D.

Hemoglobin level.

E.

Glucose level.

Question Solution

Correct Answer : A,B,C

Choice A rationale

 

Potassium level should be reviewed because captopril can cause hyperkalemia due to its effect on aldosterone secretion.

 

Choice B rationale

 

WBC with differential should be reviewed because captopril can cause neutropenia or agranulocytosis, especially in patients with renal impairment or collagen vascular disease.

 

Choice C rationale

 

BUN level should be reviewed because captopril can affect renal function, leading to increased BUN levels.

 

Choice D rationale

 

Hemoglobin level is not typically affected by captopril, so it is not a priority for review.

 

Choice E rationale

 

Glucose level is not typically affected by captopril, so it is not a priority for review.

 


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View Related questions

Correct Answer is C

Explanation

Choice A rationale

Monitoring calcium levels is not typically necessary for patients taking lisinopril, as it does not significantly affect calcium levels.

Choice B rationale

Sodium levels are not commonly affected by lisinopril, so routine monitoring is not required.

Choice C rationale

Lisinopril can cause hyperkalemia (high potassium levels), so monitoring potassium levels is crucial to prevent complications.

Choice D rationale

Magnesium levels are not significantly impacted by lisinopril, so routine monitoring is not necessary.

Correct Answer is D

Explanation

Choice A rationale

Phenytoin is an anticonvulsant used to control seizures and is not indicated for the treatment of adrenal insufficiency.

Choice B rationale

Calcitonin is used to treat conditions like osteoporosis and hypercalcemia, not adrenal insufficiency.

Choice C rationale

Buspirone is an anxiolytic used to treat anxiety disorders and is not used for adrenal insufficiency.

Choice D rationale

Fludrocortisone is a synthetic corticosteroid that is used to replace aldosterone in patients with adrenal insufficiency. It helps maintain sodium balance and blood pressure.

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