A nurse is caring for client who has a new prescription for Lisinopril for hypertension. The nurse should monitor the client for which of the following as a side effect of this medication?
Elevated blood pressure
Angioedema
Intestinal ileus
Delirium
The Correct Answer is B
A. Elevated blood pressure. Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure by relaxing blood vessels. It does not cause an increase in blood pressure.
B. Angioedema. A serious but rare side effect of ACE inhibitors like Lisinopril is angioedema, which involves swelling of the face, lips, tongue, or throat. This condition can be life-threatening due to airway obstruction, requiring immediate medical attention.
C. Intestinal ileus. Lisinopril does not typically cause an intestinal ileus. This condition is more commonly associated with medications that affect gastrointestinal motility, such as opioids or anticholinergics.
D. Delirium. While some medications can cause delirium, Lisinopril does not have central nervous system effects that would commonly lead to confusion or altered mental status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Calculation:
To determine the number of tablets per dose, use the formula:
Tablets per dose = Dose ordered/ Dose available
Given:
- Ordered dose = 100 mg
- Available dose = 50 mg per tablet
Tablet per dose = 100mg/(50mg/tablet)
= 2 tablets
Thus, the nurse will administer 2 tablets per dose.
Correct Answer is C
Explanation
A. Regular use of narcotic analgesics leads to drug addiction. While opioids can cause dependence with prolonged use, addiction is characterized by compulsive drug-seeking behavior. When used appropriately for pain management, addiction risk is low.
B. Amount of pain is reflective of actual tissue damage. Pain perception varies widely among individuals. Some may experience severe pain with minimal tissue damage, while others may have little pain despite significant injury.
C. Patients are the best judges of their pain. Pain is subjective, and only the patient can accurately describe its intensity and quality. Nurses should trust the patient's self-report rather than rely solely on appearance or behavior.
D. Chronic pain is psychological in nature. Chronic pain often has a physiological basis, such as nerve damage or inflammation, though psychological factors can influence pain perception. It is not purely psychological.
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