Author Question: A patient comes to the clinic for a follow-up appointment. As the nurse reviews the patient's ... (Read 22 times)

fbq8i · **on:** Jul 23, 2018

A patient comes to the clinic for a follow-up appointment. As the nurse reviews the patient's medications, the person states, I don't think my lisinopril (Zestril) is as effective as it once was.

Which medication would the nurse be most concerned about reducing the effect of lisinopril?
a. Spironolactone (Aldactone)
b. Furosemide (Lasix)
c. Verapamil (Calan)
d. Ibuprofen (Motrin)

Question 2

A patient is being discharged from the hospital on enalapril (Vasotec), taken orally. A nurse is providing patient education about the medication. Which statement made by the patient demonstrates a need for further teaching?

a. It is normal to have an unusual taste in my mouth.
b. My cough will subside within 3 days of being on this medication.
c. I will monitor my blood pressure daily and as needed.
d. I should limit my use of ibuprofen (Motrin).

karlss · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Ibuprofen and other nonsteroidal anti-inflammatory drugs (NSAIDs) may reduce the antihypertensive effects of ACE inhibitors.
Diuretics enhance the hypotensive effects of lisinopril, therefore the nurse should not be concerned if the patient is concurrently taking either spironolactone or furosemide.
Verapamil is not contraindicated in patients taking lisinopril.

Answer to Question 2

ANS: B
A cough occurs in 5 to 10 of patients taking ACE inhibitors, and it does not subside until the medication is discontinued; this statement indicates a need for further teaching.
An unusual taste in the mouth may occur in patients taking enalapril; no further teaching is needed.
The patient should monitor the blood pressure; no further teaching is needed.
The patient should limit use of ibuprofen, because it may reduce the antihypertensive effects of ACE inhibitors; no further teaching is indicated.