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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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Correct Answer is A

Explanation

Choice A rationale

A neutrophil count of 650/mm³ is significantly lower than the normal range (2,500 to 8,000/mm³) and indicates neutropenia, which is a known adverse effect of zidovudine. Neutropenia increases the risk of infections and requires close monitoring and potential dose adjustment or discontinuation of the medication.

Choice B rationale

A platelet count of 450,000/mm³ is slightly above the normal range (150,000 to 400,000/mm³) but is not typically associated with zidovudine toxicity. Zidovudine is more commonly associated with bone marrow suppression leading to anemia and neutropenia rather than thrombocytosis.

Choice C rationale

An Hgb level of 17 g/dL is above the normal range for females (12 to 16 g/dL) but is not a common adverse effect of zidovudine. Zidovudine is more likely to cause anemia, leading to lower hemoglobin levels rather than elevated levels.

Choice D rationale

A creatinine level of 1.5 mg/dL is within the upper limit of the normal range (0.5 to 1 mg/dL) and is not a typical adverse effect of zidovudine. Zidovudine primarily affects the bone marrow and does not have a significant impact on renal function.

Correct Answer is D

Explanation

Choice A rationale

Taking ibandronate immediately after a meal is incorrect because food and beverages can significantly decrease the absorption of ibandronate. It should be taken on an empty stomach at least 60 minutes before any food or drink.

Choice B rationale

Drinking 8 ounces of milk when taking ibandronate is incorrect because calcium in milk can interfere with the absorption of the medication. It should be taken with plain water only.

Choice C rationale

Taking ibandronate before bedtime is incorrect because the patient needs to remain upright for at least 60 minutes after taking the medication to prevent esophageal irritation.

Choice D rationale

Taking one tablet of ibandronate on the same date each month is correct. This ensures consistent dosing and helps maintain the medication’s effectiveness.

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