A nurse is caring for client who is taking lisinopril (ACE inhibitor). Which of the following outcomes indicates a therapeutic effect of the medication?
Improved sexual function
Decreased blood pressure
Increase of HDL cholesterol
Prevention of bipolar manic episodes
The Correct Answer is B
A) Improved sexual function:
While ACE inhibitors like lisinopril may have a beneficial impact on overall health, improved sexual function is not a direct therapeutic effect of this medication. In fact, ACE inhibitors can sometimes cause side effects like sexual dysfunction in some individuals. Therefore, improved sexual function is not considered a therapeutic outcome for lisinopril.
B) Decreased blood pressure:
Lisinopril is an ACE (angiotensin-converting enzyme) inhibitor that works by blocking the conversion of angiotensin I to angiotensin II, which results in vasodilation and lowered blood pressure. Therefore, a decreased blood pressure is the expected and desired outcome when a client is on lisinopril. This is the primary therapeutic effect of the medication.
C) Increase of HDL cholesterol:
Lisinopril does not have a direct effect on increasing HDL (high-density lipoprotein) cholesterol. While ACE inhibitors may have some indirect cardiovascular benefits, such as improving endothelial function or reducing risk factors for heart disease, raising HDL cholesterol is not one of their specific effects. This outcome would not indicate a therapeutic effect of lisinopril.
D) Prevention of bipolar manic episodes:
Lisinopril is not used for the treatment or prevention of bipolar disorder or its manic episodes. While certain medications, such as mood stabilizers or antipsychotics, may be used in the management of bipolar disorder, lisinopril is not effective for this purpose. Therefore, preventing bipolar manic episodes is not a therapeutic outcome of lisinopril.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) "Break needles on syringes before disposal":
Breaking needles before disposal is not a safe practice because it increases the risk of injury to staff during disposal. Needles should be disposed of intact in designated sharps containers to prevent injury. Tampering with used needles or syringes could expose staff to bloodborne pathogens.
B) "Use two hands to recap a needle after administering a medication":
The use of two hands to recap a needle is a high-risk behavior and should be avoided. The proper procedure is to never recap a needle after use. If recapping is absolutely necessary, a one-handed technique using the cap or a mechanical device should be employed to reduce the risk of needlestick injuries. The best practice is to dispose of the needle immediately in a sharps container.
C) "Dispose of used razors in wastebaskets":
Used razors should never be disposed of in wastebaskets, as this poses a significant risk of injury to waste management personnel. Razors, like needles and other sharp objects, should be placed in a designated sharps container. These containers are puncture-resistant and provide a safe environment for the disposal of used sharp items.
D) "Replace sharps containers when they are 3/4 full":
Sharps containers should be replaced when they are 3/4 full to prevent overfilling, which increases the risk of needlestick injuries. Overfilled containers can also make it difficult to dispose of new sharps safely. It is essential to follow institutional guidelines for the proper disposal of sharps and ensure that containers are replaced in a timely manner to maintain a safe environment.
Correct Answer is B
Explanation
A) Uncomplicated grief:
Uncomplicated grief refers to the normal, expected process of grieving after a loss, where the individual experiences sadness and mourning, but with time, they are able to gradually accept the loss and move forward. The key difference is that uncomplicated grief tends to resolve over a relatively short period (typically within months), and the individual can begin to adjust to life without the deceased.
B) Prolonged grief:
Prolonged grief (also known as complicated or persistent grief) occurs when an individual continues to experience intense emotional pain and difficulty accepting a loss long after the typical grieving period has passed. This can lead to a persistent sense of yearning or preoccupation with the deceased, and difficulty with daily functioning. The client in this case, who is still unable to accept the loss three years after the partner's death, is experiencing manifestations consistent with prolonged grief.
C) Anticipatory grief:
Anticipatory grief occurs when an individual begins to grieve before the actual loss, often in cases of terminal illness or when death is imminent. In these cases, individuals experience grief while the person is still alive, knowing the loss is inevitable. Since the partner has already passed away, this does not apply to the client in this scenario, who is dealing with the grief after the fact.
D) Disenfranchised grief:
Disenfranchised grief occurs when an individual's grief is not openly acknowledged or socially supported, such as when the relationship is not recognized by society (e.g., a non-marital partner or a complicated relationship). While the client might feel unsupported or unable to express their grief in certain situations, there is no information provided suggesting that the client’s grief is disenfranchised.
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