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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 E

Explanation

Choice A rationale

Hypercalcemia is not typically a risk in the emergency department unless the patient has a specific condition that causes elevated calcium levels.

Choice B rationale

Hypotension can occur in the emergency department, especially in cases of shock or severe dehydration, but it is not the most common risk.

Choice C rationale

Hypokalemia can occur, particularly in patients with certain medical conditions or those taking diuretics, but it is not the most common risk.

Choice D rationale

Hypernatremia can occur, especially in patients with dehydration or certain medical conditions, but it is not the most common risk.

Choice E rationale

Hypoglycemia is a common risk in the emergency department, especially in patients with diabetes or those who have not eaten for an extended period.

Correct Answer is C

Explanation

Choice A rationale

Rifampin is an antibiotic used to treat tuberculosis and other bacterial infections. It does not have a known interaction with St. John’s wort.

Choice B rationale

Furosemide is a diuretic used to treat fluid retention and high blood pressure. It does not have a known interaction with St. John’s wort.

Choice C rationale

Citalopram is a selective serotonin reuptake inhibitor (SSRI) used to treat depression. St. John’s wort can interact with SSRIs like citalopram, potentially leading to serotonin syndrome, a serious condition caused by excessive levels of serotonin in the brain.

Choice D rationale

Allopurinol is used to treat gout and kidney stones. It does not have a known interaction with St. John’s wort.

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