Practice Question
A nurse is reinforcing teaching with a young adult female client who has been prescribed lisinopril. Which of the following instructions should the nurse plan to include? (Select all that apply)
Answer Choices:
Correct Answer:
Notify your doctor immediately if you become pregnant.
Rationale:
✅Notify your doctor immediately if you become pregnant
✔️Lisinopril is an ACE inhibitor, which is teratogenic and can cause fetal renal damage, oligohydramnios, or death if taken during pregnancy.
✔️Women of childbearing age must use reliable contraception and notify their provider immediately if pregnancy occurs so the medication can be discontinued.
✔️Early discontinuation helps prevent congenital anomalies such as renal dysgenesis or skull defects.
✅Report the development of a persistent dry cough
✔️ACE inhibitors like lisinopril can cause a persistent, dry, nonproductive cough due to accumulation of bradykinin in the respiratory tract.
✔️This side effect is not life-threatening but can significantly affect quality of life; the provider may need to switch to an angiotensin II receptor blocker (ARB) if the cough becomes bothersome.
✔️Immediate reporting ensures the medication can be adjusted before noncompliance or further complications occur.
✅ Monitor blood pressure
✔️Lisinopril is an antihypertensive, and frequent monitoring of blood pressure ensures therapeutic effectiveness and helps detect hypotension early.
✔️Clients, especially those with volume depletion or renal impairment, are at risk for first-dose hypotension, which can cause dizziness or fainting.
✔️Home monitoring also assists in evaluating the need for dose adjustments.
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This question is from ATI LPN Mental Health Exam-2024 which contains 38 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Mental Health
- Answer Choices: 5