The nurse is providing education to a client who is prescribed Lisinopril (ACE inhibitor) for hypertension. The nurse will be sure to include what information about a common side effect?

"You may notice an orange coloring to your urine!

"Be sure to take a stool softener to prevent constipation.

"We will need to check your labs frequently for bleeding risk”

"You may experience a chronic dry cough."

Answer and Explanation

The Correct Answer is D

The nurse should inform the client that a common side effect of Lisinopril, an ACE inhibitor, is a chronic dry cough. ACE inhibitors can cause irritation in the respiratory tract, leading to a persistent cough. It is important for the client to be aware of this side effect and report it to their healthcare provider if it becomes bothersome.

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Correct Answer is A

Explanation

The patient's vital signs indicate signs of septic shock, including low blood pressure (70/46 mm Hg), tachycardia (136 beats/min), and tachypnea (32 breaths/min). The patient also has a high temperature of 104°F, indicating a fever. These findings suggest a systemic response to an infection that is leading to inadequate tissue perfusion.The initial treatment for septic shock includes fluid resuscitation to improve blood pressure and tissue perfusion. A fluid bolus of 0.9% Sodium Chloride (normal saline) is commonly used to restore intravascular volume in septic shock. It helps to increase blood pressure, improve organ perfusion, and stabilize the patient's condition.

The other interventions, such as administering Pantoprazole (Protonix) for gastrointestinal protection, giving Acetaminophen (Tylenol) for fever control, or administering rapid-acting insulin per sliding scale for hyperglycemia, are important aspects of care but should be implemented after the initial fluid resuscitation. The priority at this moment is to address the patient's hypotension and inadequate tissue perfusion through the administration of fluid bolus.

A. Naloxone (Narcan) B. Dantrolene (Dentrum) C. Furosemide (Lasix) D. Flumazenil (Romazicon) E. Flumazenil (Romazicon)

Correct Answer is B

Explanation

The given observations suggest the occurrence of malignant hyperthermia (MH), a potentially life-threatening reaction to certain medications used during anesthesia. MH is characterized by an increase in heart rate (tachycardia), elevated body temperature (hyperthermia), and muscle rigidity. The primary treatment for MH is the administration of dantrolene, which is a skeletal muscle relaxant that helps to counteract the effects of the reaction.

Naloxone (Narcan) is an opioid receptor antagonist used to reverse the effects of opioid overdose or excessive opioid sedation.

Furosemide (Lasix) is a diuretic used to treat conditions such as edema and high blood pressure.

Flumazenil (Romazicon) is a benzodiazepine receptor antagonist used to reverse the effects of benzodiazepine overdose or excessive sedation.

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The nurse is providing education to a client who is prescribed Lisinopril (ACE inhibitor) for hypertension. The nurse will be sure to include what information about a common side effect?

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Naxlex Comprehensive Predictor Exams

A patient with sepsis has a BP of 70/46 mm Hg, pulse of 136 beats/min, respirations of 32 breaths/min, temperature of 104°F, and blood glucose of 245 mg/dL. Which intervention ordered by the health care provider should the nurse implement first?

Correct Answer is A

Explanation

During surgery, the nurse makes the following observations about the patient: Pulse rises from 68 beats per minute to 110 beats per minute. Temperature increases from 36.5 C to 38.50 Muscles appear rigid. The circulating nurse anticipates preparation of:

Correct Answer is B

Explanation

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