A client taking glipizide needs to be educated on signs and symptoms of hypoglycemia. What will the nurse include in this teaching? SELECT ALL THAT APPLY.

Choice A reason: This statement is false. The nurse would not question an order for lisinopril for this client, as lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It does not have a significant effect on blood glucose levels. The client has a normal blood glucose level, which can be maintained by following a balanced diet and exercise regimen.

Choice B reason: This statement is true. The nurse would question an order for lisinopril for this client, as lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. However, it can also cause hyperkalemia, which is a condition where the potassium level is too high. The client has a high potassium level, which can cause cardiac arrhythmias or muscle weakness. The nurse should hold the lisinopril and notify the prescriber.

Choice C reason: This statement is false. The nurse would not question an order for lisinopril for this client, as lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It can also reduce the symptoms and mortality of heart failure, which is indicated by a high BNP level. BNP stands for B-type natriuretic peptide, which is a hormone that is released by the heart when it is stretched or stressed. The client has a high BNP level, which suggests that they have heart failure.

Choice D reason: This statement is false. The nurse would not question an order for lisinopril for this client, as lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It can also prevent cardiovascular events, such as stroke or heart attack, in people with hypertension. The client has a high blood pressure, which can damage the blood vessels and organs. The nurse should administer the lisinopril as ordered and monitor the client's blood pressure and renal function.

Choice A reason: This statement is true. The nurse should instruct the client to avoid getting up without assistance, as hydralazine can cause orthostatic hypotension, which is a sudden drop in blood pressure when changing positions. This can lead to dizziness, fainting, or falls.

Choice B reason: This statement is false. The nurse should not tell the client that upper arm pain is common with this medication, as hydralazine does not cause this side effect. Upper arm pain may be a sign of angina, which is chest pain caused by reduced blood flow to the heart. The nurse should advise the client to report any chest or arm pain to the prescriber.

Choice C reason: This statement is false. The nurse should not tell the client to not alter the medication with birth control, as hydralazine does not have a significant interaction with hormonal contraceptives. However, the nurse should advise the client to inform the prescriber if they are pregnant or planning to conceive, as hydralazine may have some effects on the fetus.

Choice D reason: This statement is false. The nurse should not tell the client to immediately report a dry cough, as hydralazine does not cause this side effect. A dry cough is more common with angiotensin-converting enzyme (ACE) inhibitors, which are another class of antihypertensive drugs.