An adult client is prescribed lisinopril therapy for hypertension. Why is it important to rule out pregnancy prior to starting this medication?
1. Lisinopril is pregnancy category C and D.
2. Lisinopril can cause hyperkalemia in pregnant women.
3. Lisinopril is pregnancy category B.
4. Lisinopril can cause hypotension in late pregnancy.
Correct Answer: 1
Rationale 1: Lisinopril is pregnancy category C in the first trimester and category D in the second and third trimesters.
Rationale 2: Lisinopril is not to be given to pregnant women; it can cause hyperkalemia in all clients.
Rationale 3: Lisinopril is not pregnancy category B, but C and D.
Rationale 4: Lisinopril does not cause hypotension in late pregnancy; it should not be used in pregnant women for other reasons.
Global Rationale: Lisinopril is pregnancy category C in the first trimester and category D in the second and third trimesters. Lisinopril is not to be given to pregnant women; it can cause hyperkalemia in all clients. Lisinopril is not pregnancy category B, but C and D. Lisinopril does not cause hypotension in late pregnancy; it should not be used in pregnant women for other reasons.
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