A nurse is caring for a client who is taking enalapril (Vasotec). Which of the following outcomes indicates a therapeutic effect of the medication?

Increase of high-density lipoproteins.

Decreased pain from intermittent claudication.

Decreased blood pressure

Decrease in low density lipoproteins.

Answer and Explanation

The Correct Answer is C

A) Increase of high-density lipoproteins: While higher levels of high-density lipoproteins (HDL) are generally associated with a lower risk of cardiovascular disease, enalapril is not primarily used to target lipid levels. Its main purpose is to manage blood pressure and reduce the risk of heart failure and renal complications, rather than specifically affecting HDL levels.

B) Decreased pain from intermittent claudication: Intermittent claudication is typically related to peripheral artery disease, which may not be directly improved by enalapril. While managing blood pressure can indirectly benefit circulation, enalapril is not indicated specifically for alleviating pain associated with claudication.

C) Decreased blood pressure: Enalapril is an ACE inhibitor used primarily to treat hypertension. A significant decrease in blood pressure is a direct therapeutic effect of the medication, indicating that it is effectively managing the client’s condition. Monitoring blood pressure helps assess the medication's efficacy in achieving the desired therapeutic outcome.

D) Decrease in low-density lipoproteins: Although reducing low-density lipoprotein (LDL) levels can benefit cardiovascular health, enalapril is not primarily prescribed for this purpose. Its effects on lipid levels are minimal compared to its role in lowering blood pressure and protecting renal function, making a decrease in LDL levels an irrelevant indicator of its therapeutic effect.

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Free Nursing Study Resources

Correct Answer is "{\"xRanges\":[149.828125,169.828125],\"yRanges\":[182,202]}"

Explanation

The T-wave is the final positive deflection of the ECG cycle. It represents the repolarization of the ventricles.

Therefore, you would select the area of the ECG graph that shows a rounded, positive peak following the QRS complex.

A. "For confirmed diagnosis of hypertension, the BP readings should be higher than normal on 2 or more separate occasions." B. "For confirmed diagnosis of hypertension, BP readings should be lower than normal on only one occasion." C. "For confirmed diagnosis of hypertension, BP readings should be higher than normal on more than three separate occasions." D. "For confirmed diagnosis of hypertension, the BP readings should be higher than normal on only one occasion."

Correct Answer is A

Explanation

A. "For confirmed diagnosis of hypertension, the BP readings should be higher than normal on 2 or more separate occasions.": This statement accurately reflects the criteria for diagnosing hypertension. According to guidelines, a diagnosis is typically confirmed when blood pressure readings consistently exceed normal levels (usually defined as 130/80 mm Hg) on two or more separate visits.

B. "For confirmed diagnosis of hypertension, BP readings should be lower than normal on only one occasion.": This statement is incorrect. A single low reading does not confirm a diagnosis of hypertension. In fact, it contradicts the concept of hypertension, which involves consistently high readings.

C. "For confirmed diagnosis of hypertension, BP readings should be higher than normal on more than three separate occasions.": This statement is misleading. While multiple readings are often taken, the threshold for diagnosis is two or more elevated readings, not three.

D. "For confirmed diagnosis of hypertension, the BP readings should be higher than normal on only one occasion.": This statement is inaccurate, as a single elevated reading is not sufficient for diagnosis. Consistent elevations over multiple occasions are necessary for a confirmed diagnosis.

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A nurse is caring for a client who is taking enalapril (Vasotec). Which of the following outcomes indicates a therapeutic effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is "{\"xRanges\":[149.828125,169.828125],\"yRanges\":[182,202]}"

Explanation

The nurse is educating the patient about the diagnosis of hypertension. Which statement made by the nurse is most accurate?

Correct Answer is A

Explanation

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