NURS 231 Exam 4 Nclex style review questions | updated | 100% verified | Guaranteed Success

NURS 231 Exam 4 Nclex style review questions | updated | 100% verified | Guaranteed Success The HP has ordered an angiotensin-converting enzyme (ACE) inhibitor for the client diagnosed with heart failure. Which discharge instructions should the nurse include? Select all that apply. 1. Instruct the client to take a cough suppressant if a cough develops. 2. Teach the client how to prevent orthostatic hypotension. 3. Encourage the client to eat bananas to increase potassium levels. 4. Explain the importance of taking the medica- tion with food. 5. Tell the client to avoid the use of NSAID - 2 5 Correct answers are 2 and 5. 1. If a cough develops, the client should notify the HP because this is an adverse reac- tion, and the HCP will discontinue the medication. 2. Orthostatic hypotension may occur with ACE inhibitors as a result of vasodilation. Therefore, the nurse should instruct the client to rise slowly and sit on the side of the bed until equilibrium is restored. 3. ACE inhibitors may cause the client to retain potassium; therefore, the client should not increase potassium intake. 4. An ACE inhibitor should be taken 1 hour before meals or 2 hours after a meal to increase absorption of the medication. 5. ACE inhibitors taken with NSAIDs can cause an adverse effect in the kidneys and decrease the antihypertensive benefits of the ACE inhibitor. The nurse is administering a beta blocker to the client diagnosed with an MI. Which assessment data would cause the nurse to question adminis- tering this medication? 1. The client's apical pulse is 64. 2. The client's calcium level is elevated. 3. The client's telemetry shows occasional pre- mature ventricular contractions (PVCs). 4. The client's blood pressure is 90/58. - 4