A nurse is caring for a client who takes lisinopril for hypertension. Which of the following client statements indicates an adverse effect of the medication?
"I have a nagging, dry cough.”
"I have a heightened sense of taste."
"I have to urinate frequently."
"I seem to be bruising more easy.”
The Correct Answer is A
Rationale:
A. "I have a nagging, dry cough." A dry cough is a well-known adverse effect of lisinopril and other ACE inhibitors. This occurs in some clients due to the accumulation of bradykinin and can be bothersome enough to require discontinuation of the medication.
B. "I have a heightened sense of taste." A heightened sense of taste is not a common side effect of lisinopril. It is not an indication of an adverse effect and may be unrelated to the medication.
C. "I have to urinate frequently." Frequent urination is not a typical side effect of lisinopril. However, it could be related to other conditions such as a urinary tract infection or diabetes, and it is not commonly associated with ACE inhibitors.
D. "I seem to be bruising more easily." Easy bruising is more commonly associated with medications like anticoagulants or antiplatelets, rather than lisinopril. While bruising is possible, it is not a primary concern with ACE inhibitors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Friction rub: A friction rub is a sound heard on auscultation, typically due to the rubbing of the pleurae, and is more associated with pleuritis or pleural effusion rather than respiratory failure.
B. Xerostomia: Xerostomia, or dry mouth, can be a side effect of medications or dehydration but is not directly an indication of respiratory failure.
C. Agitation: Agitation is a common early sign of respiratory failure. As oxygen levels decrease or carbon dioxide levels increase in the bloodstream, the body may respond with restlessness or agitation due to insufficient oxygenation to the brain.
D. Decreased end-tidal CO2: A decreased end-tidal CO2 can indicate poor ventilation or respiratory distress, but it is not as specific as agitation in signaling respiratory failure. Agitation is a more direct response to inadequate gas exchange.
Correct Answer is B
Explanation
Rationale:
A. Pursue local protective services: While protective services can be considered if there are signs of abuse or neglect, this is not the immediate recommendation in this situation. The caregiver's fatigue and irritability indicate stress, not abuse, other support options should be explored first.
B. Consider respite care services: Respite care provides temporary relief for caregivers, allowing them to rest and recharge. This is the most appropriate recommendation for a caregiver experiencing stress, as it helps prevent burnout and promotes better care for the client.
C. Take a nonprescription sleeping medication: While the caregiver may need better rest, self-medicating with nonprescription sleeping medication is not the best approach. It is more important to address the underlying cause of the caregiver’s stress and fatigue through proper support and respite services.
D. Contact hospice services for end-of-life care: Hospice services are for end-of-life care, typically for clients in the final stages of a terminal illness. Alzheimer's disease may lead to progressive decline, but this recommendation is premature.
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