A nurse in a provider's office is evaluating a client who has been taking lisinopril for hypertension. The nurse should identify which of the following findings as an adverse effect of this medication?

Leukocytosis

Cough

Hypokalemia

Bradycardia

Answer and Explanation

The Correct Answer is B

A) Leukocytosis:
Lisinopril, an ACE inhibitor, is not commonly associated with leukocytosis (an increase in white blood cells). This finding is more typical of infections or inflammatory conditions rather than a side effect of lisinopril.

B) Cough:
A persistent dry cough is a well-known adverse effect of lisinopril and other ACE inhibitors. This occurs due to the accumulation of bradykinin and substance P in the respiratory tract. Patients often report this side effect, and it may require switching to a different class of antihypertensive medication.

C) Hypokalemia:
Lisinopril usually does not cause hypokalemia (low potassium levels). In fact, ACE inhibitors can lead to hyperkalemia (high potassium levels) due to reduced aldosterone production, which normally promotes potassium excretion.

D) Bradycardia:
Bradycardia (slow heart rate) is not a typical adverse effect of lisinopril. This medication primarily affects blood pressure through vasodilation and reduction of fluid volume rather than directly influencing heart rate.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A) Twist at the waist when standing from a seated position:
Twisting at the waist is not recommended after a total hip arthroplasty. This movement can place strain on the hip joint and increase the risk of dislocation. Instead, clients should be instructed to use their legs to pivot and avoid twisting their torso.

B) Move your stronger leg first when using a walker:
When using a walker, clients should generally move their weaker leg first, followed by the stronger leg, to maintain balance and stability. Moving the stronger leg first can lead to instability and an increased risk of falls.

C) Apply a heating pad to the operative hip to decrease pain:
Applying a heating pad to the operative hip is typically not advised immediately after surgery. Heat can increase swelling and discomfort. Postoperative care often involves using ice or cold packs to reduce swelling and pain. Heating pads may be used later, as advised by the healthcare provider.

D) Use a raised toilet seat to maintain your hips above your knees:
Using a raised toilet seat helps maintain the hip joint in a safer, more neutral position and minimizes the risk of hip dislocation. This adjustment helps keep the hips above the knees, reducing strain on the new joint and facilitating safer movements during the postoperative period.

A. Confirm that the client's bladder is empty. B. Indicate the risk for autonomic dysreflexia in the client's medical record. C. Place the client in an upright sitting position. D. Administer an antihypertensive medication intravenously.

Correct Answer is C,A,D,B

Explanation

The sequence of steps the nurse should take when caring for a client who has a spinal cord injury and has developed autonomic dysreflexia is as follows:

C. Place the client in an upright sitting position. This helps to lower blood pressure by promoting venous return.

A. Confirm that the client’s bladder is empty. A distended bladder is a common cause of autonomic dysreflexia.

D. Administer an antihypertensive medication intravenously. If the previous interventions do not alleviate the symptoms, medication may be needed to lower the client’s blood pressure.

B. Indicate the risk for autonomic dysreflexia in the client’s medical record. This is important for ongoing care and future healthcare providers.

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A nurse in a provider's office is evaluating a client who has been taking lisinopril for hypertension. The nurse should identify which of the following findings as an adverse effect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who is postoperative following a total hip arthroplasty. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse is caring for a client who has a spinal cord injury and has developed autonomic dysreflexia. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is C,A,D,B

Explanation

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