The nurse is caring for a patient who will be discharged with a prescription for lisinopril. What discharge teaching should be provided related to this medication?

Take this medication with food or milk

Get potassium levels drawn periodically

Increase intake of green vegetables

Use salt substitute for cooking

Answer and Explanation

The Correct Answer is B

A. While taking some medications with food or milk can help with absorption, this is not a specific requirement for lisinopril.

B. Lisinopril, an ACE inhibitor, can lead to elevated potassium levels. Periodic monitoring of potassium levels is essential to prevent hyperkalemia, a potentially dangerous side effect.

C. Increasing intake of green vegetables is generally healthy but does not directly impact lisinopril's effects.

D. Many salt substitutes contain potassium, which could elevate potassium levels further when taken with ACE inhibitors like lisinopril, posing a risk for hyperkalemia.

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Correct Answer is A

Explanation

A. The fifth intercostal space at the left midclavicular line is the location of the mitral valve, where murmurs associated with mitral valve disease are best auscultated.

B. The fourth intercostal space at the right sternal border is the location for assessing the tricuspid valve, not the mitral valve.

C. The third intercostal space at the left midclavicular line is not associated with loudest auscultation of the mitral valve murmur.

D. The second intercostal space at the right sternal border is where the aortic valve sounds are best heard.

A. "This medication will decrease how hard your heart works." B. "It is prescribed to dilate your coronary arteries." C. "It will prevent any irregular heartbeats." D. "This medication makes your heart beat more forcefully."

Correct Answer is A

Explanation

A. Metoprolol, a beta-blocker, decreases the heart rate and reduces myocardial oxygen demand by lowering the workload on the heart, which is beneficial for managing unstable angina.

B. While metoprolol has some vasodilatory effects, its primary action is to reduce heart workload, not to dilate coronary arteries.

C. Although beta-blockers can reduce the risk of arrhythmias, the main purpose in angina management is to decrease cardiac workload.

D. Metoprolol does not make the heart beat more forcefully; instead, it decreases the force of contraction to reduce myocardial oxygen consumption.

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The nurse is caring for a patient who will be discharged with a prescription for lisinopril. What discharge teaching should be provided related to this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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