A client is sent home on lisinopril (Zestril). The nurse has educated the heart failure client on the actions of this medication. Which of the following best describes what the nurse instructed?

Question

1. Lisinopril is an ACE inhibitor medication. This medication will lower the blood pressure and decrease the fluid in the body. The client may notice a cough.
2. Lisinopril is an ACE inhibitor medication that will lower the client's heart rate and blood pressure. The client should observe closely for angioedema.
3. Lisinopril is a beta-blocking drug that will lower the client's heart rate and blood pressure. The client should observe closely for symptoms of worsening heart failure.
4. Lisinopril is a beta-blocker drug that will increase the pumping ability of the heart. The client should observe closely for orthostatic hypotension.

Answer 1

Lisinopril is an ACE inhibitor medication. This medication will lower the blood pressure and decrease the fluid in the body. The client may notice a cough.

Rationale: ACE inhibitor medications act by preventing vasoconstriction, thus allowing vasodilation. Since ACE inhibitors also interrupt the body's ability to conserve sodium, the net result is fluid loss. Lisinopril does not impact the heart rate. Angioedema and a cough are side effects of ACE inhibitors. Angioedema should be reported to the health care provider immediately. Lisinopril is not a beta-blocker drug and does not impact the pumping ability of the heart. Lisinopril will not create worsening heart failure symptoms as beta blocker can. Lisinopril can create orthostatic hypotension, so the client should be advised to rise slowly.