Introduction

Introduction ( 5 Questions)

A nurse is assessing a client who has hypertension and is taking an angiotensin-converting enzyme (ACE) inhibitor. Which of the following findings should the nurse report to the provider?



Correct Answer: C

A serum potassium level of 5.2 mEq/L. The nurse should report this finding to the provider because it indicates hyperkalemia, which is a potential adverse effect of ACE inhibitors.  Hyperkalemia can cause cardiac arrhythmias and muscle weakness, and it requires prompt treatment.

Choice A is wrong because a dry cough is a common and benign side effect of ACE inhibitors.   It does not indicate a serious problem and does not require reporting to the provider.

Choice B is wrong because a heart rate of 72/min is within the normal range of 60 to 100 beats per minute.   It does not indicate any adverse effect   of ACE inhibitors or hypertension.

Choice D is wrong because a blood pressure of 130/80 mm Hg is within the target range for a client who has hypertension.   It indicates that the ACE inhibitor is effective in lowering the blood pressure and does not require reporting to the provider.




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