Author Question: The patient receives enalapril (Vasotec) as treatment for heart failure. What is the best nursing ... (Read 59 times)

danielfitts88 · **on:** Jul 23, 2018

The patient receives enalapril (Vasotec) as treatment for heart failure. What is the best nursing assessment following the initial administration of this drug?

1. Assess the patient for ototoxicity.
2. Assess the patient's blood pressure.
3. Assess the patient for an irregular pulse.
4. Assess the patient for a serious rash.

Question 2

The patient receives captopril (Capoten) as treatment for heart failure. Which adverse effect will the nurse plan to report to the physician?

1. The patient develops a cough.
2. The patient develops diarrhea.
3. The patient develops dehydration.
4. The patient develops facial flushing.

johnharpe · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale: Severe hypotension, known as first-dose phenomenon, can occur after the initial administration of enalapril (Vasotec). Ototoxicity is an adverse effect of loop diuretics. StevensJohnson syndrome is an adverse effect of beta blockers. Irregular pulse is an adverse effect of beta blockers.

Answer to Question 2

Correct Answer: 1
Rationale: A cough is an adverse effect of captopril (Capoten) and should be reported to the physician. Diarrhea is not an adverse effect of captopril (Capoten). Facial flushing is not an adverse effect of captopril (Capoten). Dehydration is not an adverse effect of captopril (Capoten).