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.”

Answer and Explanation

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.

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Correct Answer is D

Explanation

Rationale:

A. Vasovagal bradycardia without syncope: Vasovagal bradycardia, which is often caused by a reflex response to certain triggers, typically does not require a pacemaker. If the client is not experiencing syncope, a pacemaker is generally not indicated.

B. Sinus tachycardia with rates faster than 80/min: Sinus tachycardia is generally not an indication for a pacemaker. A heart rate faster than 80/min is often a physiological response to various conditions, such as exercise or stress, and usually does not require pacing unless.

C. Asymptomatic second-degree AV block: Asymptomatic second-degree AV block does not always require a pacemaker. Many individuals with this type of block do not experience significant symptoms, and treatment may not be necessary unless the block progresses.

D. Complete AV block with rates slower than 40/min: A complete AV block with a heart rate slower than 40/min is a serious condition that often requires the placement of a permanent pacemaker. This type of block disrupts the normal conduction between the atria and ventricles, leading to slow heart rates and inadequate cardiac output.

A. Crepitus at the puncture site B. Dry, nonproductive cough C. Increased lung expansion D. Rapid, shallow respirations

Correct Answer is C

Explanation

Rationale:

A. Crepitus at the puncture site: Crepitus, or the sensation of air under the skin, may indicate subcutaneous emphysema, which is a complication that can occur after thoracentesis. It is not a normal finding and should be reported immediately.

B. Dry, nonproductive cough: A dry, nonproductive cough is not a typical finding immediately following thoracentesis. Coughing may be associated with post-procedure irritation but should not be expected as a common outcome.

C. Increased lung expansion: Increased lung expansion is the desired outcome after thoracentesis. The procedure removes excess pleural fluid, allowing the lung to expand more fully. This is a positive result that should be expected as the client recovers.

D. Rapid, shallow respirations: Rapid, shallow respirations can indicate respiratory distress, which could signal a complication such as pneumothorax. This is not an expected finding and requires immediate evaluation and intervention.

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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?

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Naxlex Comprehensive Predictor Exams

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