A nurse is caring for a client prescribed Lisinopril. Which nursing action is most appropriate regarding monitoring for persistent dry cough, angioedema, and hyperkalemia?
1Arrange for a home health nurse to administer omalizumab at the client's home, instruct the client to remain for 30 minutes after injection and to call 911 if any signs of anaphylaxis develop; no emergency supplies needed.✓ Correct answer
2Discharge the client within 5 minutes after injection, instructing them to self-monitor for signs of anaphylaxis at home and to call 911 if symptoms develop; no in-clinic observation or emergency supplies required.
3Pre-medicate with oral diphenhydramine 50 mg 30 minutes before injection, then observe for 15 minutes and discharge with instructions to monitor for delayed symptoms; no emergency supplies or extended observation necessary.
4Observe in the clinic for at least 2 hours after the first several doses (and at least 30 minutes thereafter), with anaphylaxis emergency supplies immediately available; counsel about delayed reactions up to 24 hours
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.