The nurse is caring for a patient with heart failure who is receiving lisinopril twice a day. What intervention will the nurse implement when administering this medication?

Hold medication if B-type natriuretic peptide (BNP) results are high.

Check serum potassium and creatinine levels.

Encourage the patient to add salt substitute with all meals.

Document extent of vision changes every shift.

Answer and Explanation

The Correct Answer is B

Choice A reason: Holding medication if B-type natriuretic peptide (BNP) results are high is not a standard intervention when administering lisinopril. BNP levels are used to assess the severity of heart failure, but they do not directly influence the administration of lisinopril. Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that helps manage heart failure by reducing blood pressure and decreasing the workload on the heart.

Choice B reason: Checking serum potassium and creatinine levels is crucial when administering lisinopril. Lisinopril can affect kidney function and electrolyte balance. It may cause hyperkalaemia (elevated potassium levels) and increase serum creatinine levels, indicating impaired kidney function. Regular monitoring of these parameters helps ensure the patient's safety and the effectiveness of the medication.

Choice C reason: Encouraging the patient to add salt substitute with all meals is not recommended for patients taking lisinopril. Many salt substitutes contain potassium chloride, which can further increase the risk of hyperkalaemia in patients on ACE inhibitors like lisinopril. This intervention could lead to dangerous electrolyte imbalances.

Choice D reason: Documenting the extent of vision changes every shift is not related to the administration of lisinopril. Vision changes are not a common side effect of this medication. This intervention may be more relevant for patients on medications known to affect vision, but it is not specific to lisinopril.

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Correct Answer is A

Explanation

Choice A reason:

Ondansetron on a PRN basis is used to manage nausea and vomiting. In patients with inflammatory bowel disease, especially during an inpatient stay, controlling nausea is important to maintain comfort and prevent dehydration. This makes it an appropriate symptomatic treatment.

Choice B reason:

Vitamin B12 injections may be indicated in patients with Crohn’s disease who have malabsorption issues, particularly if the terminal ileum is involved. However, they are not routinely given to all patients with inflammatory bowel disease solely for the prevention of pernicious anemia.

Choice C reason:

Antidiarrheal medications are generally contraindicated in inflammatory bowel disease, as they can mask important symptoms and may increase the risk of complications like toxic megacolon, especially if administered before meals.

Choice D reason:

Beta adrenergic blockers are not used to reduce bowel motility. Their primary use is in cardiovascular conditions, and they do not address the gastrointestinal symptoms associated with inflammatory bowel disease.

A. Albuterol, 2 inhalations B. Beclomethasone, 2 inhalations C. Fluticasone and salmeterol, 1 inhalation D. Tiotropium, 2 inhalations

Correct Answer is A

Explanation

Choice A reason: Albuterol is a short-acting beta-agonist that helps to quickly relieve bronchospasm, reduce wheezing, and improve airflow in patients with COPD exacerbations.

Choice B reason: Beclomethasone is an inhaled corticosteroid used for long-term control of inflammation in COPD but is not the first-line treatment for acute exacerbations.

Choice C reason: Fluticasone and salmeterol is a combination inhaler used for maintenance therapy in COPD, providing both anti-inflammatory and long-acting bronchodilation effects, but not ideal for immediate symptom relief.

Choice D reason: Tiotropium is a long-acting anticholinergic bronchodilator used for maintenance treatment in COPD but is not the best choice for acute symptom management.

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The nurse is caring for a patient with heart failure who is receiving lisinopril twice a day. What intervention will the nurse implement when administering this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is A

Explanation

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