A nurse is reinforcing teaching with a young adult female client who has been prescribed lisinopril.
Which of the following instructions should the nurse plan to include? (Select all that apply)
Your cholesterol levels should be monitored monthly while taking this medication.
Notify your doctor immediately if you become pregnant.
Make sure your diet contains a lot of potassium-rich foods.
Report the development of a persistent dry cough.
Monitor blood pressure.
Correct Answer : B,D,E
Choice A reason: Monitoring cholesterol levels is essential while taking lisinopril. This medication is an angiotensin-converting enzyme (ACE) inhibitor used to treat high blood pressure, heart failure, and heart attack. Regular monitoring helps assess the impact of lisinopril on lipid levels and overall cardiovascular health. Elevated cholesterol can contribute to heart disease, so monitoring allows for timely interventions and adjustments in treatment.
Choice C reason: Potassium-rich foods are relevant because lisinopril can affect potassium levels. ACE inhibitors may lead to hyperkalemia (high potassium levels), especially in patients with impaired kidney function. Encouraging potassium-rich foods helps maintain a balance and prevent complications.
Choice D reason: Reporting a persistent dry cough is crucial. Lisinopril is associated with a common side effect: a dry, persistent cough. This occurs due to increased levels of bradykinin, a substance affected by ACE inhibitors. If the client experiences this cough, it's essential to notify the doctor for potential medication adjustments.
Choice E reason: Monitoring blood pressure aligns with the purpose of lisinopril. Regular blood pressure checks help assess the effectiveness of the medication in controlling hypertension. Consistent monitoring ensures timely adjustments and prevents complications related to high blood pressure.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason : Morphine is an opioid analgesic used to relieve severe pain and can be administered to patients with myocardial infarction to alleviate chest pain and anxiety. However, it is not the first medication given as it does not address the underlying cause of the myocardial infarction, which is the formation of a blood clot in the coronary arteries.
Choice B reason : Nitroglycerin is a nitrate that helps to dilate blood vessels and improve blood flow. It can be used to relieve chest pain in myocardial infarction, but similar to morphine, it is not the initial medication of choice. The priority is to prevent further blood clotting.
Choice C reason : Administered as soon as possible to inhibit platelet aggregation and reduce clot progression.
Choice D reason : When a myocardial infarction (MI) is suspected, the priority is to address tissue hypoxia and ensure adequate oxygenation to minimize myocardial damage. Administering oxygen helps increase oxygen availability to the ischemic heart tissue, reducing further damage.
Correct Answer is ["2"]
Explanation
Step 1 is to identify the prescribed dose of digoxin, which is 0.25 mg.
Step 2 is to identify the amount of digoxin available per tablet, which is 0.125 mg/tablet.
Step 3 is to calculate the number of tablets the nurse should administer per dose. This is done by dividing the prescribed dose by the amount available per tablet. So, 0.25 mg ÷ 0.125 mg/tablet = 2 tablets.
The nurse should administer 2 tablets per dose.
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