What drug is an angiotensin-converting enzyme (ACE) inhibitor?
a. Furosemide (Lasix)
b. Captopril (Capoten)
c. Chlorothiazide (Diuril)
d. Spironolactone (Aldactone)
ANS: B
Captopril is an ACE inhibitor. Furosemide is a loop diuretic. Chlorothiazide works on the distal tubules. Spironolactone blocks the action of aldosterone and is a potassium-sparing diuretic.
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A postsurgical client has been admitted to the unit with an indwelling urinary catheter that was inserted in the operating room and which is scheduled for removal the following morning
How can the nurse best avoid backflow or urine into the client's bladder and subsequent infection? A) Ensure that the collection bag is always lower than the client's bladder. B) Irrigate the catheter if clots or pus are visible in the tubing or collection bag. C) Ensure that the contents of the collection bag do not exceed 50% of capacity. D) Position the client in a high Fowler's position unless contraindicated.
A nursing student asks a nurse working in the newborn nursery how vitamin K deficiency is treated in newborns. Which response by the nurse is correct?
a. "A newborn infant's intestinal flora will produce vitamin K." b. "If coagulation studies show a bleeding disorder, oral menadione is given." c. "Menadione is given intravenously shortly after delivery." d. "Phytonadione is given intramuscularly immediately after delivery."
The older client asks you if the white rings around her eyes are cancer of the eye or cataracts. What is your best response?
A. "Yes, they are actually benign tumors and do not need to be removed." B. "No, these rings are a normal change as people age and do not affect vision." C. "No, these rings may be early indications of glaucoma and should be evaluated by your doctor." D. "Yes, these rings are immature cataracts and will need to be removed when they grow large enough to affect your vision."
When assessing a 53-year-old patient with bacterial meningitis, the nurse obtains the following data. Which finding should be reported immediately to the health care provider?
a. The patient exhibits nuchal rigidity. b. The patient has a positive Kernig's sign. c. The patient's temperature is 101° F (38.3° C). d. The patient's blood pressure is 88/42 mm Hg.