The nurse teaches a client about lisinopril (Prinivil), and ...

[Yolanda]

The nurse teaches a client about lisinopril (Prinivil), and evaluates that additional teaching is required when the client makes which statement?
 
  1. It takes a while for this medication to take effect.
  2. I don't need to worry about having blood tests done.
  3. I will avoid using salt substitutes for seasoning.
  4. I will monitor my blood pressure until my next appointment.

Question 2

A client who is diagnosed with heart failure is prescribed digoxin (Lanoxin). Prior to discharge, what will the best teaching plan of the nurse include?
 
  1. If you miss a dose, take two doses.
  2. Report mental changes such as euphoria.
  3. Stop the medication if your pulse is 56.
  4. Report a weight gain of two or more pounds per day.

[ecabral0]

Answer to Question 1

Correct Answer: 2
Rationale 1: It takes a while for lisinopril (Prinivil) to become effective.
Rationale 2: The use of ACE inhibitors can lead to neutropenia, and the client should be monitored for this side effect by having the absolute neutrophil count (ANC) measured.
Rationale 3: Potassium should be limited to avoid hyperkalemia.
Rationale 4: Blood pressure should be monitored to assess effectiveness of the medication.
Global Rationale: The use of ACE inhibitors can lead to neutropenia, and the client should be monitored for this side effect by having the absolute neutrophil count (ANC) measured. It takes a while for lisinopril (Prinivil) to become effective. Potassium should be limited to avoid hyperkalemia. Blood pressure should be monitored to assess effectiveness of the medication.

Answer to Question 2

Correct Answer: 4
Rationale 1: Clients should not take a double dose; this is considered an overdose and could lead to toxicity.
Rationale 2: Mental depression is more likely to occur than is euphoria.
Rationale 3: If the pulse is 56, the client should notify the health care provider, and not stop the medication unless directed to do so.
Rationale 4: Weight gain could indicate fluid retention and a worsening of heart failure.
Global Rationale: Weight gain could indicate fluid retention and a worsening of heart failure. Clients should not take a double dose; this is considered an overdose and could lead to toxicity. Mental depression is more likely to occur than is euphoria. If the pulse is 56, the client should notify the health care provider, and not stop the medication unless directed to do so.

[Yolanda]

Excellent

[gcook]

Great answer, keep it coming