A nurse is assessing a client who is taking lisinopril. Which of the following findings should the nurse document in the client's medical record as an adverse effect?

Blood pressure 108/62 mm Hg

Potassium 3.5 mEq/L (3.5 to 5 mEq/L)

Frequent, nonproductive cough

Frequent, painless urination

Answer and Explanation

The Correct Answer is C

A. Blood pressure 108/62 mm Hg: Lisinopril is an antihypertensive, and a systolic BP above 90 mm Hg is typically not considered an adverse effect. Hypotension can occur but is more concerning if it results in symptoms such as dizziness or syncope.

B. Potassium 3.5 mEq/L (3.5 to 5 mEq/L): Lisinopril can cause hyperkalemia, but a potassium level of 3.5 mEq/L is within the normal range. Monitoring potassium levels is essential, but this finding does not indicate an adverse effect.

C. Frequent, nonproductive cough: A dry, persistent cough is a common adverse effect of lisinopril due to the accumulation of bradykinin. It often does not resolve until the medication is discontinued or switched to an alternative, such as an angiotensin receptor blocker (ARB).

D. Frequent, painless urination: Lisinopril does not typically cause increased urination. While it affects renal function, it is more likely to lead to hyperkalemia or reduced glomerular filtration rate in susceptible individuals.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Remain at least 1 foot away from young children during treatment: Clients receiving radioactive isotope therapy should maintain a greater distance, typically at least 6 feet from children and pregnant individuals, to minimize radiation exposure.

B. Use cloth handkerchiefs instead of disposable tissues: Disposable tissues are recommended for nasal secretions because they can be discarded immediately, reducing contamination risk. Cloth handkerchiefs may retain radioactive particles, increasing exposure.

C. Use absorbent briefs for incontinence as needed: While managing incontinence is important, absorbent briefs may retain radioactive urine, increasing the risk of prolonged exposure. Frequent voiding and proper disposal of contaminated materials are preferred.

D. Flush the toilet with the lid closed three times after use: This helps minimize radiation exposure to others by ensuring radioactive waste is thoroughly diluted and flushed away, reducing contamination in the surrounding environment.

A. Hypertension B. 2+ edema C. Tachycardia D. Crackles in lungs

Correct Answer is C

Explanation

A. Hypertension: Elevated blood pressure is not a typical sign of bleeding. In cases of significant blood loss, compensatory mechanisms usually lead to hypotension rather than hypertension due to reduced circulating volume. A hypertensive response may occur due to pain or stress but does not indicate hemorrhage.

B. 2+ edema: Postoperative edema can occur from fluid shifts, inflammation, or IV fluid administration but is not a direct indicator of active bleeding. Bleeding is more likely to cause signs of hypovolemia, such as tachycardia or hypotension, rather than localized swelling.

C. Tachycardia: A common early sign of bleeding, as the body compensates for decreased blood volume by increasing heart rate to maintain oxygen delivery. Persistent tachycardia in a postoperative client should raise suspicion for internal bleeding, especially if accompanied by hypotension or pallor.

D. Crackles in lungs: Crackles are usually linked to fluid overload, pneumonia, or heart failure rather than bleeding. Pulmonary congestion may develop after aggressive IV fluid resuscitation, but bleeding primarily manifests with hemodynamic instability rather than respiratory symptoms.

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A nurse is assessing a client who is taking lisinopril. Which of the following findings should the nurse document in the client's medical record as an adverse effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a group of clients who are receiving radioactive isotope therapy. Which of the following information should the nurse include?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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