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A nurse is caring for a client who has heart failure and monitor when administering lisinopril?

Bradycardia

Hypokalemia

Hypotension

Tinnitus

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Bradycardia (slow heart rate) is not a primary concern when administering lisinopril.

Choice B rationale:

Hypokalemia (low potassium levels) can be a concern with certain medications, but it is not directly related to lisinopril administration.

Choice C rationale:

Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor commonly used to treat heart failure. One of the potential side effects of ACE inhibitors is hypotension (low blood pressure), so the nurse should monitor the client's blood pressure closely during and after administration.

Choice D rationale:

Tinnitus (ringing in the ears) is not a common side effect of lisinopril.

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Correct Answer is D

Explanation

Choice A rationale:

Taking an HMG-CoA reductase inhibitor (statin) is not directly related to digoxin toxicity.

Choice B rationale:

Having a prolapsed mitral valve is not a known risk factor for digoxin toxicity.

Choice C rationale:

Having a history of COPD is not directly associated with digoxin toxicity.

Choice D rationale:

High-ceiling diuretics (loop diuretics) can lead to electrolyte imbalances, such as hypokalemia, which can increase the risk of digoxin toxicity. Potassium plays a role in the effects of digoxin on the heart, and low levels can potentiate toxicity.

A. Slow the infusion rate. B. Flush the IV catheter. C. Elevate the extremity. D. Apply pressure to the IV site.

Correct Answer is C

Explanation

Choice A rationale:

Slowing the infusion rate would not address the issue of infiltration.

Choice B rationale:

Flushing the IV catheter would not be effective in managing fluid infiltration.

Choice C rationale:

Elevating the extremity helps reduce swelling and limits the spread of infiltrated fluid into surrounding tissues.

Choice D rationale:

Applying pressure to the IV site might be appropriate for preventing bleeding during catheter removal, but it would not effectively manage fluid infiltration.

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A nurse is caring for a client who has heart failure and monitor when administering lisinopril?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following factors predisposes this client to developing digoxin toxicity?

Correct Answer is D

Explanation

A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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