Practice Question
A male client reports to the on-call clinic nurse that he took two tablets of 10 mg lisinopril by mouth two hours ago and his skin now feels flushed. He reports a history of stable angina, but denies experiencing any chest pain at the moment or recently .Which action should the nurse take?
Answer Choices:
Correct Answer:
Tell the client to have someone bring him to an emergency department immediately.
Rationale:
🔸 Lisinopril is an ACE inhibitor, and facial flushing may be a sign of angioedema, a rare but potentially life-threatening side effect.
🔸 Angioedema can progress to airway compromise with swelling of the lips, face, tongue, or throat—even in the absence of chest pain.
🔸 The client took a double dose (20 mg), increasing the risk of this reaction, especially if new to the medication.
🔸 Immediate evaluation is required to assess for airway involvement, oxygenation, and need for epinephrine or airway protection.
🔸 This is a medical emergency, and reassuring or home management is unsafe without ruling out anaphylactic-like complications.
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This question is from RN HESI Exit~2024 Exam 3 which contains 113 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI-Exit Exam(s)
- Domain: HESI Exit Exam(s)~2024
- Answer Choices: 4