Lisinopril is contraindicated in patients with which adverse condition?
History of angioedema related to ACE inhibitors
Asthma
Chronic sinusitis
Diabetes mellitus
The Correct Answer is A
A. History of angioedema related to ACE inhibitors: Lisinopril can trigger life-threatening angioedema in patients with a prior history of ACE inhibitor–induced angioedema. Re-exposure significantly increases the risk of airway obstruction and anaphylaxis, making it an absolute contraindication.
B. Asthma: Lisinopril does not directly worsen asthma, although it can cause a dry cough in some patients. Asthma alone is not a contraindication, but respiratory symptoms should be monitored if they develop.
C. Chronic sinusitis: Chronic sinusitis is not affected by ACE inhibitors, and there is no increased risk of complications from taking lisinopril. It does not pose a contraindication to therapy.
D. Diabetes mellitus: Lisinopril is often used in diabetes to protect kidney function and manage hypertension. Diabetes is not a contraindication; in fact, it can be a therapeutic benefit in preventing diabetic nephropathy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Dries mucous membranes: Expectorants do not dry secretions; instead, they work to thin mucus. Drying the mucous membranes would make coughing less effective and could worsen congestion.
B. Stimulates secretions: Expectorants increase the production and hydration of respiratory tract secretions, which thins mucus and makes it easier to expel. This facilitates airway clearance and improves the effectiveness of coughing.
C. Suppresses the urge to cough: Cough suppressants, or antitussives, reduce the cough reflex. Expectorants do not suppress coughing but enhance mucus clearance, so they serve a different therapeutic purpose.
D. Reduces inflammation: Expectorants do not have anti-inflammatory effects. Inflammation in the respiratory tract may persist, but thinning mucus aids in symptom relief by promoting clearance rather than reducing swelling.
Correct Answer is B
Explanation
A. synthesis of intrinsic factor: Vitamin C does not play a role in the production of intrinsic factor, which is a protein needed for vitamin B12 absorption. Deficiency of vitamin C would not impair this process.
B. Wound healing: Vitamin C is essential for collagen synthesis, which is crucial for tissue repair and wound healing. A deficiency can result in delayed healing, easy bruising, and poor connective tissue integrity. Monitoring for slow recovery from injuries can indicate inadequate vitamin C intake.
C. bowel elimination: Vitamin C does not directly regulate bowel movements, although high doses may have a mild laxative effect. Deficiency does not typically cause significant changes in bowel elimination.
D. urine formation: Vitamin C is water-soluble and excreted in urine, but it does not affect kidney function or the process of urine formation. Deficiency does not impair renal filtration or fluid balance.
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