A nurse is preparing to administer an angiotensin-converting ...

[lak]

A nurse is preparing to administer an angiotensin-converting enzyme (ACE) inhibitor. Which drug should the nurse be administering?
 
  a. Captopril (Capoten)
  b. Furosemide (Lasix)
  c. Spironolactone (Aldactone)
  d. Chlorothiazide (Diuril)

Question 2

A 6-month-old infant is receiving digoxin (Lanoxin). The nurse should notify the practitioner and withhold the medication if the apical pulse is less than _____ beats/min.
 
  a. 60
  b. 70
  c. 90 to 110
  d. 110 to 120

[matt95]

Answer to Question 1

ANS: A
Captopril is an ACE inhibitor. Furosemide is a loop diuretic. Spironolactone blocks the action of aldosterone. Chlorothiazide works on the distal tubules.

Answer to Question 2

ANS: C
If the 1-minute apical pulse is below 90 to 110 beats/min, the digoxin should not be given to a 6-month-old. 60 beats/min is the cut-off for holding the digoxin dose in an adult. 70 beats/min is the determining heart rate to hold a dose of digoxin for an older child. 110 to 120 beats/min is an acceptable heart rate to administer digoxin to a 6-month-old.