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 seem to be bruising more easily,"
"I have to urinate frequently."
"I have a nagging, dry cough."
"I have a heightened sense of taste."
The Correct Answer is C
A. “I seem to be bruising more easily,”: Easy bruising is not a typical adverse effect of lisinopril. Bruising may indicate a hematologic issue or another medication effect, but it is unrelated to ACE inhibitor therapy.
B. "I have to urinate frequently.": Increased urination is not commonly associated with lisinopril. Diuretics, rather than ACE inhibitors, are more likely to cause polyuria. This statement does not indicate an adverse effect of lisinopril.
C. "I have a nagging, dry cough.": A persistent, dry cough is a well-known adverse effect of ACE inhibitors like lisinopril. It occurs due to the accumulation of bradykinin in the respiratory tract, and it can be bothersome enough to require medication adjustment or substitution.
D. "I have a heightened sense of taste.": Altered taste perception is not a common adverse effect of lisinopril. While some medications can affect taste, this is not characteristic of ACE inhibitors and is unlikely to be related to the client’s current therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Increased lung expansion: Thoracentesis removes excess fluid from the pleural space, allowing the affected lung to re-expand more fully. Improved lung expansion is an expected therapeutic outcome within a few hours after the procedure, leading to easier breathing and improved ventilation.
B. Rapid, shallow respirations: Rapid, shallow breathing may indicate respiratory distress or complications such as pneumothorax. This is not an expected finding and would require immediate evaluation. Its presence suggests impaired gas exchange rather than improvement after fluid removal.
C. Crepitus at the puncture site: Crepitus indicates subcutaneous emphysema, which can occur if air leaks into the tissue during the procedure. This is an abnormal finding and may signal a pneumothorax or injury to lung tissue, requiring prompt provider notification.
D. Dry, nonproductive cough: While a mild, transient cough may occur immediately after the procedure due to the change in intrathoracic pressure, a persistent or new, dry cough could indicate continued irritation or developing pleural complications, though less critical than the signs of pneumothorax.
Correct Answer is B
Explanation
A. Use hot water when cleaning the client's skin.: Hot water can damage fragile skin and increase the risk of pressure injuries. The nurse should use lukewarm water and gentle cleansing techniques to protect skin integrity.
B. Provide the client with high-protein meals.: Adequate protein intake supports tissue repair and helps prevent progression of pressure injuries. Nutrition plays a critical role in maintaining skin health and promoting healing in clients at risk for skin breakdown.
C. Place the client in a supine position.: Continuous supine positioning increases pressure on the scapulae and other bony prominences, which can worsen skin breakdown. Frequent repositioning is necessary to relieve pressure and promote circulation.
D. Gently massage the reddened areas.: Massaging reddened areas can damage underlying tissue and worsen pressure injuries. The nurse should avoid direct pressure or massage on areas showing early signs of breakdown and instead use repositioning and protective devices.
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