A patient with severe liver disease is receiving
the angiotensin-converting enzyme (ACE) inhibitor, captopril (Capoten). The nurse is aware that the advantage of this drug for this patient is which characteristic?
a. Captopril rarely causes first-dose hypotensive effects.
b. Captopril has little effect on electrolyte levels.
c. Captopril is a prodrug and is metabolized by the liver before becoming active.
d. Captopril is not a prodrug and does not need to be metabolized by the liver before becoming active.
ANS: D
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A male client displaying acute mania has disrobed in the hall three times in 2 hours. The nurse
should a. direct the client to wear his clothes at all times. b. ask if the client finds the clothes bothersome. c. tell the client he is embarrassing the women. d. arrange for one-on-one supervision.
Which assessment finding obtained while taking the history of an older adult client alerts the nurse that the client needs further assessment for fluid or electrolyte imbalance?
a. "I am often cold and need to wear a sweater." b. "I seem to urinate more when I drink cof-fee." c. "In the summer, I feel thirsty more often." d. "My rings seem to be tighter this week."
A woman asks the nurse, "What protects my baby's umbilical cord from being squashed while inside of me?" The nurse's best response is:
1. "Your baby's umbilical cord is surrounded by connective tissue called Wharton's jelly, which prevents compression of the blood vessels and ensures continued nourishment of your baby.". 2. "Your baby's umbilical floats around in blood anyway.". 3. "You don't need to be worrying about things like that.". 4. "The umbilical cord is a group of blood vessels that are very well protected by the placenta.".
A client complains of a burning sensation in her eyes, but is otherwise feeling fine
When cleaning the room, the nurse senses a pungent smell in the room. The nurse feels that the burning sensation experienced by the client could be a result of some irritating or harmful chemical agent and immediately changes the client's room. Which sense of observation has the nurse used to identify the problem and take the relevant intervention? A) Olfactory observation B) Auditory observation C) Tactile observation D) Visual observation