A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication?
Increase of HDL cholesterol
Prevention of bipolar manic episodes
Improved sexual function
Decreased blood pressure
The Correct Answer is D
A. Lisinopril is an ACE inhibitor, which is not intended to increase HDL (high-density lipoprotein) cholesterol levels. It works to decrease blood pressure and help with heart failure, not to alter cholesterol levels directly.
B. Lisinopril is not used for managing bipolar disorder, and its use does not prevent manic episodes. This medication's primary function is to treat high blood pressure and heart failure.
C. Lisinopril does not directly affect sexual function. Any improvement in sexual function would be coincidental rather than a therapeutic effect.
D. The primary therapeutic effect of lisinopril is a decrease in blood pressure. It works by inhibiting the angiotensin-converting enzyme, which relaxes blood vessels and lowers blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Breaking the neck of the ampule in a downward motion could increase the risk of injury and should not be done without proper technique. Wearing sterile gloves is correct, but the motion of breaking the ampule should be cautious and controlled.
B. Breaking the neck to the right side is not a recommended or safe practice. It is important to use a controlled, proper method of opening the ampule to avoid injury.
C. Tapping the bottom of the ampule helps dislodge any liquid that may be stuck, and using a gauze pad around the neck provides protection against glass shards. Breaking the neck in a forward motion away from the body is the correct and safest approach.
D. Breaking the top of the ampule toward the body is unsafe, as it can cause glass shards to potentially hurt the nurse. The ampule should be broken away from the body for safety.
Correct Answer is D
Explanation
A. A backache is not a common adverse effect of digoxin.
B. Being able to walk a mile a day is an improvement in physical activity and not an indication of digoxin toxicity.
C. Increased urination could be due to improved cardiac output and is not necessarily an adverse effect of digoxin.
D. Nausea and loss of appetite are classic symptoms of digoxin toxicity, which requires immediate attention.
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