Adverse Effects And Allergic Reactions Practice Test

A 55-year-old male on a medical-surgical unit received his first dose of lisinopril by mouth for hypertension 2 hours ago. He now has swelling of the lips and tongue, hoarse voice, and reports “tightness” in his throat; vital signs are blood pressure 104/68 mm Hg, heart rate 110/min, respiratory rate 24/min, oxygen saturation 92% on room air. The nurse should IMMEDIATELY report which finding to the registered nurse?

A 67-year-old female in a long-term care facility started trimethoprim-sulfamethoxazole by mouth yesterday for a urinary tract infection; history includes sulfonamide allergy (hives). Today she reports itching and has raised, red wheals on her chest and arms; vital signs are temperature 98.6°F (37°C), heart rate 96/min, blood pressure 128/76 mm Hg, respiratory rate 18/min, oxygen saturation 97% on room air. Which action is the PRIORITY for the nurse?