A patient who is taking furosemide (Lasix) and digoxin will begin taking captopril (Capoten). The nurse is providing information about the drug. Which statement by the patient indicates a need for further teaching?
a. "I can use acetaminophen for analgesia if needed."
b. "I should stop taking the Lasix about a week before starting the Capoten."
c. "I should take this medication on a full stomach."
d. "I will need to have blood tests done every 2 weeks for a few months."
ANS: C
Most oral formulations of ACE inhibitors may be given without regard for meals; captopril and moexipril, however, should be given 1 hour before meals. Nonsteroidal anti-inflammatory medications should be avoided; acetaminophen is not contraindicated. Patients taking diuretics should stop taking them 1 week before starting an ACE inhibitor to minimize the risk of hypotension. A WBC with differential should be evaluated at baseline and, after treatment starts, every 2 weeks for several months to monitor for neutropenia.
You might also like to view...
The nurse is caring for a client who begins to complain of dizziness, numbness, and tingling in the toes and fingers. The nurse notes a respiratory rate of 40. ABGs would most likely confirm the following: Standard Text: Select all that apply
1. pH below 7.4 2. PaCO2 below 35 mm Hg 3. Respiratory acidosis 4. Respiratory alkalosis 5. pH above 7.45
The client is 36 weeks pregnant. The nurse is assessing the client's respiratory system and finds that the respiratory rate is 24 breaths per minute
The client states that she sometimes experiences shortness of breath. Which response by the nurse is the most appropriate? 1. "You have developed asthma during your pregnancy." 2. "During your last trimester, it is normal for you to feel short of breath and to have a faster respiratory rate." 3. "I'm going to have to notify your healthcare provider right now about these findings." 4. "You have been infected with tuberculosis."
The nurse is caring for a client who is diagnosed with fibromyalgia. Based on this diagnosis, which clinical manifestations does the nurse anticipate for this client?
Select all that apply. A) Irritable bowel syndrome B) Insomnia C) Pain in the calves of the leg D) Nausea and vomiting E) Anxiety
The nurse caring for a client recovering from an abdominal hysterectomy suspects the client is experiencing a pulmonary embolism. Which clinical manifestation supports the nurse's suspicion?
A) Nausea B) Decreased urine output C) Dyspnea and shortness of breath D) Activity intolerance