Terrence, a 42-year-old patient, presents with symptoms of chronic heart failure. His medical history reveals that he is allergic to ACEIs and administration of any ACEI to Terrence usually brings about a severe bout of angioedema. Which of the following drugs should be avoided?

A. Isosorbide dinitrate
B. Hydralazine
C. Captopril
D. Nitroglycerine


Answer: C

Nursing

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The nurse is teaching parents how to prevent a sickle-cell crisis in the child with sickle-cell disease. Which of the following are precipitating factors that could contribute to a sickle-cell crisis? Select all that apply

1. Fever 2. Dehydration 3. Regular exercise 4. Altitude 5. Increased fluid intake

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In which activities do political action committees (PACs) primarily engage?

1. Developing organizational policies 2. Collective bargaining 3. Endorsing political candidates for office 4. Filing civil lawsuits

Nursing

A patient who has traveler's diarrhea asks the nurse about using loperamide to stop the symptoms. What will the nurse tell the patient about this drug?

a. "Loperamide is used for moderate to se-vere symptoms only." b. "This drug is useful as prophylaxis to prevent symptoms." c. "This drug is only effective to treat certain infectious agents." d. "Use of this drug may prolong symptoms by slowing peristalsis."

Nursing

The client with chronic rhinitis asks the nurse why he cannot use his nasal spray as often as he needs. The nurse's best response is:

A) "Continuous use of nasal spray causes nosebleeds." B) "Continuous use causes rebound congestion, which increases frequency of use." C) "Prolonged use of nasal spray dries the nasal mucosa." D) "Too much medication is absorbed through the mucosa and has a systemic effect on the circulation."

Nursing