A patient who has been taking lisinopril (Zestril) develops swollen lips and reports that the tongue feels thick. What is the nurse's best action?
a. Document the report and reassure the patient that this is a common drug side ef-fect.
b. Check the patient's pulse for rhythm and take the patient's blood pressure.
c. Ask the patient whether this has ever happened before.
d. Hold the lisinopril dose and notify the prescriber.
D
About 15% of patients taking an angiotensin-converting enzyme (ACE) inhibitor develop aller-gies to the drug with the first symptom of angioedema (swelling) of the face, lips, tongue, and neck. The swelling can become severe enough to block the patient's airway. Although this reac-tion is not usually as immediately life-threatening as anaphylaxis, another dose of the drug would worsen the problem.
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A woman arrives at the birthing unit complaining of frequent strong contractions that begin in her back and cannot be relieved by walking or changing positions. What action by the nurse is most appropriate?
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The guiding framework that describes what the organization considers to be its business direction is the ____
a. Futuristic guidelines b. Organizational vision c. Strategic plan d. Tactical operand
The nurse is preparing the medication leucovorin to provide to a child who is currently receiving methotrexate for a brain tumor. What should the nurse explain to the child and parents regarding the purpose of this medication?
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