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A nurse is providing discharge instructions to a client who has heart failure and a new prescription for captopril. Which of the following client statements indicates an understanding of the teaching?

A) I should take the med with food
B) I should take naproxen if I develop joint pain
C) I should tell my provider if I develop a sore throat
D) I should expect the med to cause orange urine

User Typewriter
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Final answer:

The correct statement regarding captopril instructions is that the client should notify their provider if a sore throat develops. Taking the drug with food, using naproxen, or expecting orange urine are not correct understandings of the instructions. Also, the reference information should mention a diuretic, not an oliguric, as the drug type that increases urination by acting on the kidney's loop of Henle.

Step-by-step explanation:

The correct statement that indicates an understanding of the discharge instructions for a client with heart failure and a new prescription for captopril is C) I should tell my provider if I develop a sore throat. Captopril is an ACE inhibitor, and one of the potential side effects is neutropenia, which can present with symptoms such as a sore throat or fever. Neutropenia is a decrease in the number of white blood cells, which can increase the risk of infection.

As for the student's options, taking captopril with food can decrease its absorption, so it's often advised to take it on an empty stomach. Using naproxen, a nonsteroidal anti-inflammatory drug (NSAID), can potentially worsen kidney function and should be used cautiously in patients with heart failure. Lastly, captopril does not typically cause orange urine; this symptom is not associated with its use.

Concerning the reference information provided on a drug that increases the frequency of urination, the correct term would be diuretic, not oliguric. Diuretics work primarily on different parts of the kidney nephron, including the loop of Henle, to inhibit the reabsorption of Na+ and Cl-, leading to increased urine production. Diuretics are often used to manage hypertension and conditions where fluid buildup occurs, such as heart failure.

User Evan McEwen
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