What are the side effect(s) of lisinopril? Select all that apply.
Bradycardia
Hypokalemia
Productive cough
Swelling of face
Dizziness
Correct Answer : C,E
A. Bradycardia: Lisinopril does not directly affect heart rate and is not associated with clinically significant bradycardia. Its primary cardiovascular effect is vasodilation through inhibition of the renin-angiotensin-aldosterone system, which lowers blood pressure rather than slowing the pulse.
B. Hypokalemia: ACE inhibitors decrease aldosterone secretion, which reduces potassium excretion by the kidneys. This mechanism places clients at risk for hyperkalemia rather than hypokalemia, especially in those with renal impairment or who use potassium supplements.
C. Productive cough: Lisinopril is associated with a persistent dry, nonproductive cough due to bradykinin accumulation. A productive cough suggests infection or another respiratory condition rather than a medication-related effect of ACE inhibitors.
D. Swelling of face: Facial swelling is a sign of angioedema, a serious and potentially life-threatening adverse effect of lisinopril. It can involve the lips, tongue, face, and airway, requiring immediate discontinuation of the medication and urgent intervention.
E. Dizziness: Dizziness commonly occurs due to the blood pressure–lowering effects of lisinopril, particularly after the first dose or with position changes. Reduced systemic vascular resistance can lead to orthostatic symptoms, especially in older adults or volume-depleted clients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A client with benign prostatic hyperplasia: Terazosin is an alpha-1 adrenergic blocker that relaxes smooth muscle in the prostate and bladder neck, improving urine flow and reducing symptoms of BPH such as urinary hesitancy and incomplete bladder emptying.
B. A client with a history of syncope: Terazosin can cause orthostatic hypotension, especially with the first dose, increasing the risk of dizziness and fainting. Administering it to a client prone to syncope could exacerbate this risk.
C. A client with fluid volume deficit: Hypovolemia can intensify the blood pressure–lowering effects of terazosin, increasing the likelihood of symptomatic hypotension and falls. Careful assessment and correction of fluid status are necessary before administration.
D. A client with hypotension: Terazosin lowers blood pressure by vasodilation. Administering it to a client who already has hypotension could cause severe hypotensive episodes, dizziness, or shock.
Correct Answer is B
Explanation
A. Sulfa allergy: Inhaled corticosteroids are not sulfonamide-based medications, so a history of sulfa allergy does not increase the risk of adverse effects. Monitoring for allergic reactions related to sulfa is not necessary.
B. Diabetes mellitus: Inhaled corticosteroids can increase blood glucose levels by promoting gluconeogenesis and reducing insulin sensitivity. Clients with diabetes are at risk for hyperglycemia, so closer monitoring of blood glucose is essential while on this medication.
C. Asthma: Asthma is an indication for inhaled corticosteroids rather than a risk factor for adverse effects. While monitoring for effectiveness is important, asthma itself does not necessitate additional safety monitoring beyond standard care.
D. Cataracts: Long-term systemic corticosteroid use is associated with an increased risk of cataracts, but inhaled corticosteroids have a much lower systemic absorption. While eye exams may be part of long-term care, immediate close monitoring is not typically required for cataracts.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.