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?
1Draw up 1 g calcium gluconate into a 3 mL syringe with a 22-gauge needle; administer deeply into the ventrogluteal muscle using the Z-track method to ensure rapid absorption and avoid skin irritation.✓ Correct answer
2Dilute in 50 to 100 mL D5W and infuse over 10 to 20 minutes via a patent large-bore IV with continuous cardiac monitoring; assess for extravasation and check serum calcium, magnesium, and ECG for QT prolongation.
3Administer the undiluted 1 g calcium gluconate via slow IV push over 30 to 60 seconds through a peripheral 20-gauge catheter, followed by a 10 mL 0.9% sodium chloride flush, while monitoring for bradycardia and tingling resolution.
4Draw 1 g calcium gluconate and 50 mEq sodium bicarbonate into a 50 mL syringe; infuse via a Y-site compatible IV set over 20 minutes to correct hypocalcemia and metabolic acidosis concurrently.
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.
IV calcium gluconate is always diluted, infused slowly, and given through a large-bore line with cardiac monitoring. The two NCLEX trap behaviors are pushing it fast and mixing it with sodium bicarbonate (precipitates).