The nurse is administering captopril (Capoten) to a client with heart failure. What is the priority intervention for this client?

a. Administer this medication before meals to aid absorption.
b. Instruct the client to ask for assistance when arising from bed.
c. Give the medication with milk to prevent stomach upset.
d. Monitor the potassium level and check for symptoms of hypokalemia.


B
Administration of the first dose of angiotensin-converting enzyme (ACE) inhibitors is often as-sociated with hypotension, usually termed first-dose effect. The nurse should instruct the client to seek assistance before arising from bed to prevent injury from postural hypotension.

Nursing

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During an inspection of the precordium of an adult patient, the nurse notices the chest moving in a forceful manner along the sternal border. This finding most likely suggests a(n):

a. Normal heart. b. Systolic murmur. c. Enlargement of the left ventricle. d. Enlargement of the right ventricle.

Nursing

Prior to administering an antihyperlipidemic drug to a client, which of the following would the nurse assess? Select all that apply

A) Dietary history B) Vital signs C) Blood glucose D) Weight E) Input and output

Nursing

A patient with generalized seizure disorder has just had a seizure. The nurse would assess for what characteristic associated with the postictal state?

A) Epileptic cry B) Confusion C) Urinary incontinence D) Body rigidity

Nursing

A student nurse is explaining preventricular contractions (PVCs) to their client. Which of the following statements by the student nurse would need further teaching by the nurse?

a. Frequent PVCs can lead to Ventricular tachycardia b. PVCs are normal c. PVCs originate in the atria d. PVCs originate in the ventricles

Nursing