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?
1Discontinue theophylline permanently, because combining it with ciprofloxacin significantly increases the risk of theophylline toxicity.
2Administer both medications as prescribed, as there is no known interaction between theophylline and ciprofloxacin that requires dose adjustment.
3Notify the provider — ciprofloxacin is a strong CYP1A2 inhibitor and increases theophylline levels; an alternative antibiotic or theophylline dose adjustment is needed✓ Correct answer
4Instruct the client to take the ciprofloxacin with an antacid to improve absorption and minimize gastrointestinal upset, as food interactions are common with fluoroquinolones.
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.