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

Answer and Explanation

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.

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Correct Answer is ["3"]

Explanation

Calculation:

To determine the number of capsules per dose, use the formula:

Capsules per dose = Dose ordered/ Dose available

Given:

Ordered dose = 600 mg
Available dose = 200 mg per capsule

Capsules per dose = 600mg/ (200mg/capsule)

= 3 capsules

Thus, the nurse will administer 3 capsules per dose.

A. Narrowing of the inferior vena cava, causing low blood flow and increases in venous pressure resulting in varicosities B. Progressive atrophy of the intramuscular calf veins, causing venous insufficiency C. Peripheral blood vessels growing more rigid with age, producing a rise in systolic blood pressure D. Hormonal changes causing vasodilation and a resulting drop in blood pressure

Correct Answer is C

Explanation

A. Narrowing of the inferior vena cava, causing low blood flow and increases in venous pressure resulting in varicosities. The inferior vena cava does not significantly narrow with aging. Varicosities are more commonly due to valve insufficiency in the veins rather than vena cava narrowing.
B. Progressive atrophy of the intramuscular calf veins, causing venous insufficiency. Venous insufficiency is common in older adults, but it is primarily due to valve dysfunction and prolonged venous pressure rather than atrophy of calf veins.
C. Peripheral blood vessels growing more rigid with age, producing a rise in systolic blood pressure. Aging leads to arteriosclerosis, where blood vessels become stiffer, reducing their ability to expand and contract, which contributes to increased systolic blood pressure. This is a well-documented normal physiologic change in older adults.
D. Hormonal changes causing vasodilation and a resulting drop in blood pressure. While some hormonal changes occur with aging, they do not typically lead to significant vasodilation. In fact, the loss of vascular elasticity and autonomic dysfunction can contribute to postural hypotension, but not a generalized drop in blood pressure.

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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?

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