1. A nurse is providing education to a client prescribed an ACE inhibitor
for hypertension. Which common adverse effect should the nurse inform
the client may occur?
Answer: Irritating dry cough
Rationale: ACE inhibitors increase bradykinin levels, which can
irritate airway tissue, causing a persistent, dry cough. This is one
of the most frequent adverse effects.
2. A client taking a statin medication for high cholesterol reports muscle
pain and weakness. Which lab levels should the nurse monitor?
Answer: Liver enzymes and CK levels
Rationale: Muscle pain can indicate rhabdomyolysis. CK levels
rise with muscle breakdown, and statins can also damage the
liver, requiring monitoring of liver enzymes.
3. A patient taking metformin is scheduled for a procedure with contrast
dye. What is the correct nursing action?
Answer: Hold metformin for 48 hours before and after the
procedure.
Rationale: Contrast dye increases the risk of acute kidney injury,
and metformin with renal impairment can cause lactic acidosis.
