The nurse knows it is essential to monitor which laboratory values while a client is being treated with ACE inhibitors and ARBs?
Standard Text: Select all that apply.
1. Electrolyte levels
2. Liver function
3. BUN and creatinine levels
4. Lipid profiles
5. ECG
Correct Answer: 1,2,4
Rationale 1: Electrolyte levels, especially potassium, need to be monitored while a client is taking ACE inhibitors.
Rationale 2: Liver function needs to be monitored while a client is taking ACE inhibitors and ARBs.
Rationale 3: BUN and creatinine levels do not need to be monitored while a client is taking ACE inhibitors and ARBs.
Rationale 4: It is important to monitor a client's lipid profile while taking ACE Inhibitors and ARBs.
Rationale 5: Although it is important to monitor the client's heart rate while taking ACE inhibitors and ARBs, an ECG is not considered a laboratory test.
Global Rationale: Electrolyte levels, especially potassium, need to be monitored while a client is taking ACE inhibitors. Liver function and lipid profiles need to be monitored while a client is taking ACE inhibitors and ARBs. BUN and creatinine levels do not need to be monitored while a client is taking ACE inhibitors and ARBs. Although it is important to monitor the client's heart rate while taking ACE inhibitors and ARBs, an ECG is not considered a laboratory test, but a diagnostic test.
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