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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Heparin does not dissolve clots. It prevents new clot formation and stops existing clots from growing, but it does not directly dissolve clots. Thrombolytic medications are used for clot dissolution.
B. While pharmacists can provide additional information, the nurse should be able to explain that heparin prevents clot formation rather than dissolving existing clots.
C. Heparin reaches a therapeutic blood level relatively quickly (within hours of administration), but it does not directly dissolve clots. It is used to prevent further clotting while the body naturally breaks down existing clots.
D. Heparin works by inhibiting clot formation and preventing new clots from forming but does not dissolve clots. It is important to clarify this to the client.

A. Enoxaparin B. Clopidogrel C. Alteplase D. Aspirin

Correct Answer is A

Explanation

A. Enoxaparin is a low-molecular-weight heparin used to prevent deep vein thrombosis (DVT) in postoperative patients, especially after major surgeries like hip arthroplasty.
B. Clopidogrel is an antiplatelet medication used to prevent arterial thromboembolism but is not typically prescribed for DVT prevention postoperatively.
C. Alteplase is a thrombolytic agent used to break up existing clots, not for routine prevention of DVT in postoperative clients.
D. While aspirin may be prescribed for other conditions, it is not the first-line agent for preventing DVT after hip arthroplasty. Enoxaparin is preferred for its anticoagulant properties.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

Correct Answer is D

Explanation

A nurse is caring for a client who is postoperative following hip arthroplasty. The nurse should anticipate which of the following prescriptions for this client?

Correct Answer is A

Explanation

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