A patient in heart failure is being given a first dose of lisinopril (Prinivil) 10 mg PO. Which finding would cause the nurse to question the administration of the first dose?
1. Heart rate 92 beats per minute
2. Blood pressure 100/72
3. Potassium 5.7 mEq/dL
4. Urine output 35 mL/hr
3
Rationale 1: This would not cause the nurse to question the first dose of the medication.
Rationale 2: This would not cause the nurse to question the first dose of the medication.
Rationale 3: Ace inhibitors increase the serum potassium and a further increase from 5.7 could be problematic so the nurse should question the administration of this medication.
Rationale 4: This would not cause the nurse to question the first dose of the medication.
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A. Inspection. B. Percussion. C. Palpation. D. Auscultation. E. Bulge sign testing.