A nurse is caring for client who has a new prescription for Lisinopril for hypertension. The nurse should monitor the client for which of the following as a side effect of this medication?
Elevated blood pressure
Angioedema
Intestinal ileus
Delirium
The Correct Answer is B
A. Elevated blood pressure. Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure by relaxing blood vessels. It does not cause an increase in blood pressure.
B. Angioedema. A serious but rare side effect of ACE inhibitors like Lisinopril is angioedema, which involves swelling of the face, lips, tongue, or throat. This condition can be life-threatening due to airway obstruction, requiring immediate medical attention.
C. Intestinal ileus. Lisinopril does not typically cause an intestinal ileus. This condition is more commonly associated with medications that affect gastrointestinal motility, such as opioids or anticholinergics.
D. Delirium. While some medications can cause delirium, Lisinopril does not have central nervous system effects that would commonly lead to confusion or altered mental status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Axillary. The axillary method is less accurate because it measures surface temperature, which can be influenced by environmental factors and is typically lower than core temperature.
B. Rectal. The rectal route provides the most accurate core temperature measurement because it closely reflects internal body temperature and is less affected by external conditions. It is commonly used in critically ill patients and infants when precise measurements are needed.
C. Forehead. Forehead (temporal artery) thermometers provide a non-invasive method of measuring temperature but can be less accurate due to external factors like sweating or ambient temperature changes.
D. Oral. Oral temperature is commonly used and provides a good estimate of core temperature, but factors like recent eating, drinking, or mouth breathing can affect accuracy. Rectal temperature remains the most precise method.
Correct Answer is ["1.3"]
Explanation
Calculation:
Formula:
Dose to administer (mL) = Ordered dose (mcg) / Available dose (mcg/mL)
Given:
Ordered dose: 400 mcg.
Available dose: 300 mcg/mL.
Volume (mL) = 400 mcg / 300 mcg/mL
= 1.333... mL
Rounded to the nearest tenth: 1.3 mL.
The nurse will administer 1.3 mL of Neupogen.
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