The nurse is preparing to administer an angiotensin-converting enzyme (ACE) inhibitor to a patient who has hypertension. The nurse notes peripheral edema and swelling of the patient's lips
The patient has a blood pressure of 160/80 mm Hg and a heart rate of 76 beats per minute. What is the nurse's next action?
a. Administer the dose and observe carefully for hypotension.
b. Hold the dose and notify the provider of a hypersensitivity reaction.
c. Notify the provider and request an order for a diuretic medication.
d. Request an order for serum electrolytes and renal function tests.
ANS: B
The patient has signs of angioedema which indicates a hypersensitivity reaction. The nurse should hold the dose and notify the provider. Giving the dose will make the reaction more serious. These are not signs of edema, so a diuretic is not indicated. Electrolytes and renal function tests are not indicated.
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