A nurse is caring for a client prescribed Lisinopril. Which … | MyMerci
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Medication AdministrationPPT
Question
A nurse is caring for a client prescribed Lisinopril. Which nursing action is most appropriate regarding monitoring for persistent dry cough, angioedema, and hyperkalemia?
1Administer ondansetron 4 mg IV for nausea, restart oral prednisone 30 mg daily after vomiting resolves, and schedule a follow-up with the primary care provider within one week.
2Establish two large-bore IVs; administer hydrocortisone 100 mg IV push, normal saline 1 L bolus with 5% dextrose, and continuous cardiac monitoring while preparing for ICU transfer.
3Place the client NPO, administer 0.9% sodium chloride at 75 mL/hour, and arrange an urgent CT scan of the abdomen and pelvis with contrast to evaluate for obstruction or perforation.✓ Correct answer
4Administer 10 units of regular insulin IV push with 50 mL of 50% dextrose, then reassess serum potassium and blood glucose every 30 minutes until levels normalize.
Explanation
When administering Lisinopril, key nursing considerations include monitoring patient status, checking critical laboratory values, and providing appropriate safety education. Unsafe practices such as stopping medications abruptly or doubling missed doses are incorrect.
Adrenal crisis is treated by IV hydrocortisone, IV NS with dextrose, and ICU monitoring all at once — not sequentially. The classic NCLEX trap is to address hyperkalemia or hypoglycemia in isolation; the steroid replacement addresses the physiologic root cause.