The nurse is providing medication information to a client who is ...

[segrsyd]

The nurse is providing medication information to a client who is beginning medication therapy with enalapril (Vasotec). The nurse reminds the client that which of the following is an anticipated, although unpleasant, side effect of this medication?
 
  1. Rapid pulse
  2. Persistent dry cough
  3. Increased blood pressure
  4. Metallic taste in the mouth

Question 2

The nurse notes that the site of a client's peripheral intravenous (IV) catheter is reddened, warm, painful, and slightly edematous proximal to the insertion point of the IV catheter.
 
  After taking appropriate steps to care for the client, the nurse documents in the medical record that the client has experienced: 1. Phlebitis of the vein
  2. Infiltration of the IV line
  3. Hypersensitivity to the IV solution
  4. Allergic reaction to the IV catheter material

[katkat_flores]

Answer to Question 1

2

Rationale: The principal adverse effects of enalapril, an angiotensin-converting enzyme (ACE) inhibitor, are persistent cough, first-dose hypotension, and hyperkalemia. The medication is used to treat hypertension. A rapid pulse and metallic taste in the mouth are not side effects.

Answer to Question 2

1

Rationale: Phlebitis at an IV site can be distinguished by client discomfort at the site, as well as by redness, warmth, and swelling proximal to the catheter. The IV line should be discontinued, and a new line should be inserted at a different site. The remaining options are incorrect.