Author Question: The client is starting on lisinopril therapy for hypertension and heart failure. The nurse instructs ... (Read 11 times)

saliriagwu · **on:** Jul 23, 2018

The client is starting on lisinopril therapy for hypertension and heart failure. The nurse instructs the client to return for laboratory monitoring because of the risk of which adverse effect?

1. Hyperkalemia
2. Hyponatremia
3. Hypernatremia
4. Hypokalemia

Question 2

The nurse is reviewing the diet history of a client prescribed lisinopril therapy for hypertension. Which part of the client's current dietary intake must be altered while on lisinopril therapy?

1. Use of fish oil supplements
2. Use of calcium supplements
3. Use of potassium supplements
4. Use of multiple vitamins

Beatricemm · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Lisinopril therapy can increase the risk of hyperkalemia because it is a potassium-sparing drug. Clients with heart failure are at higher risk.
Rationale 2: Lisinopril therapy does not increase the risk of hyponatremia.
Rationale 3: Lisinopril therapy does not increase the risk of hypernatremia.
Rationale 4: Lisinopril therapy does not increase the risk of hypokalemia, but of hyperkalemia.
Global Rationale: Lisinopril therapy can increase the risk of hyperkalemia because it is a potassium-sparing drug. Clients with heart failure are at higher risk. Lisinopril therapy does not increase the risk of hyponatremia, hypernatremia, or hypokalemia.

Answer to Question 2

Correct Answer: 3
Rationale 1: Use of fish oil supplements is not contraindicated with lisinopril therapy. Fish oil supplements might be beneficial to the hypertensive client.
Rationale 2: Use of calcium supplements is not contraindication in lisinopril therapy.
Rationale 3: Use of potassium supplements is contraindicated with lisinopril therapy because of the risk of hyperkalemia. Lisinopril is a potassium-sparing drug.
Rationale 4: Use of multiple vitamins is not contraindicated in lisinopril therapy.
Global Rationale: Use of potassium supplements is contraindicated with lisinopril therapy because of the risk of hyperkalemia. Lisinopril is a potassium-sparing drug. Use of fish oil supplements is not contraindicated with lisinopril therapy. Fish oil supplements might be beneficial to the hypertensive client. Use of calcium supplements and a multivitamin is not contraindicated in lisinopril therapy.