HESI Pharmacology Exam 2 | Nurselytic

Questions 36

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HESI Pharmacology Exam 2 Questions

Extract:

History and Physical
The client is a 54-year-old male with a history of hypertension and type 2 diabetes. He takes spironolactone 25 mg per day, metformin 500 mg twice a day, and 25 units of insulin glargine.
Orders
• prescription of captopril 25mg by mouth twice a day
Laboratory Test
Hemoglobin A1C:
• Result- 6.8%
• Reference Range- 4 to 5.9%


Question 1 of 5

For each instruction, click to indicate whether the instructions given by the nurse are indicated or contraindicated to prepare for the client’s first dose of captopril.

OptionsIndicatedContraindicated
Increase the lantus dose by 3 units the morning of the first dose.
Limit fluids for several days before the first dose.
Hold spironolactone for 3 days.
Lay down if the blood pressure drops quickly after the first dose.
Monitor blood pressure for several hours after the first dose.

Correct Answer:

Rationale: Holding spironolactone reduces hyperkalemia risk with captopril, lying down manages hypotension, and monitoring blood pressure ensures safety. Increasing insulin or limiting fluids lacks rationale and risks hypoglycemia or dehydration.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

Similar Questions

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