Question

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

Answer 1

The nurse would question the administration of the first dose of lisinopril (Prinivil) 10 mg PO if the patient's potassium level is 5.7 mEq/dL.

Step-by-step explanation:

The nurse would question the administration of the first dose of lisinopril (Prinivil) 10 mg PO if the patient's potassium level is 5.7 mEq/dL. Lisinopril is an ACE inhibitor and can cause hyperkalemia (high potassium levels) as a side effect. Since the patient already has a high potassium level, administering lisinopril could potentially further increase the potassium levels, leading to complications.