Question

A) The nurse has just administered Prinivil (lisinopril) to a newly admitted patient. Which nursing intervention takes priority over the next several hours?

- Auscultating the lungs

- Monitoring the heart rate

- Monitoring the blood pressure

- Assessing for cough

B). A patient is ordered atorvastatin (Lipitor) to treat hyperlipidemia your teaching plan for this patient should include:

- Telling the patient to supplement the medication with a daily dose of fish oil

- Notifying the physician and discontinuing the medication if muscle pain occurs

- Making sure that cardiac enzyme are drawn if there is change in the dose and periodically periodically thereafter

- Making sure to take medication at the same time every day

Answer 1

A. assesing for cough

angiotensin converting enzyme inhibitors like lisinopril have a common side effect of cough

it is due to prevention of breakdown of protussive mediators like bradykinin and substance p, leading to their accumulation

B. notifying the physician and discontinuing the medication if pain occurs

muscle pains are one of the most common side effects of statins

the muscle pains my present as soreness, tireness or weakness

the pain may be mild discomfort, or it can be severe enough to make your daily activities difficult

rarely statins can cause life threatening muscle damage called rhabdomyolysis which is the reason you notify to the physician regarding the muscle pains