Which of the following laboratory values should the health care provider plan to monitor for a patient receiving captopril (Capoten)?

a. Urinalysis
b. Serum amylase
c. Liver function studies
d. Complete blood count (CBC) with differential


ANS: D
A CBC and differential should be obtained before starting therapy, then every 2 weeks for 3 months, and periodically thereafter. Therapy should be stopped if the neutrophil count falls to below 1000/mm3.

Nursing

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A formerly normotensive woman, pregnant for the first time, develops hypertension and headaches at 26 weeks' gestation. Her blood pressure is 154/110 mm Hg, and she has proteinuria

What other lab tests should be ordered for her? A) Plasma angiotensin I and II and renin B) Urinary sodium and potassium C) Platelet count, serum creatinine, and liver enzymes D) Urinary catecholamines and metabolites

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The nurse set up the sterile field and is preparing to cleanse a male patient before inserting a urinary catheter. What step is essential for the nurse to use to facilitate insertion?

a. Keep the foreskin over the penis tip. b. Use long strokes down the shaft of the penis. c. Hold the penis at a right angle to the body. d. Hold the cotton balls in the dominant hand.

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Providing therapeutic nursing care to a patient with chronic pain encompasses which of the following? Select all that apply

1. Weaning the patient off pain medications 2. Suggesting a variety of alternative therapies 3. Accepting the patient as an expert 4. Not medicating the patient with narcotics 5. Verbalizing acknowledgment of the patient's pain

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Which should the nurse monitor a client for who has been on long-term steroid therapy?

A. Acute closed angle glaucoma B. Muscle wasting C. Ulcerative colitis D. Weight loss

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