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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 B

Explanation

Choice A rationale

Weight gain is not a common side effect of pramlintide. Monitoring for hypoglycemia is more critical.

Choice B rationale

Pramlintide can cause hypoglycemia, especially within 3 hours after administration. Monitoring for hypoglycemia is essential.

Choice C rationale

Pramlintide should be injected into the abdomen or thigh, not the upper arm.

Choice D rationale

Pramlintide should be administered immediately before a meal, not 30 minutes prior.

Correct Answer is C

Explanation

Choice A rationale

Expecting to have drowsiness while taking this medication is a common side effect of many seizure medications. However, it is not an indication of understanding the teaching about seizure medication management.

Choice B rationale

Taking an extra dose of the medication if a dose is missed is incorrect. Patients should not take an extra dose if they miss one. They should follow their healthcare provider’s instructions on what to do if a dose is missed.

Choice C rationale

Having blood checked to monitor the medication level indicates an understanding of the teaching. Monitoring blood levels of seizure medications is important to ensure therapeutic levels and avoid toxicity.

Choice D rationale

Taking the medication with an antacid to prevent indigestion is incorrect. Antacids can interfere with the absorption of some seizure medications.

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