A nurse is assessing a client who has hypertension and has started taking lisinopril. Which of the following findings should the nurse report to the provider immediately?

A. Eyelid edema (swelling) can be a sign of angioedema, which is a rare but serious side effect of ACE inhibitors like lisinopril. Angioedema involves swelling of deeper layers of the skin, often around the eyes, lips, tongue, throat, and sometimes the hands and feet. It can lead to airway obstruction and is potentially life-threatening. Immediate medical evaluation and possibly discontinuation of the medication are necessary if angioedema is suspected.B. Nausea is a common side effect of many medications, including lisinopril, but it is generally not considered a serious adverse reaction unless severe or persistent.C Insomnia (difficulty sleeping) can occur as a side effect of medications but is not typically associated with lisinopril to the extent of warranting immediate reporting.D. A dry, persistent cough is a well-known side effect of ACE inhibitors like lisinopril.Rationale: While annoying and uncomfortable, a dry cough is usually not dangerous and can be managed with symptomatic treatment or, if severe, by switching to a different class of antihypertensive medication.