While auscultating a client's heart sounds, the nurse hears turbulence between S1 and S2. The nurse should document this finding as which of the following?

A systolic murmur

A third heart sound (S3)

A fourth heart sound (S4)

An expected heart sound

Answer and Explanation

The Correct Answer is A

A. A systolic murmur: A murmur heard between S1 and S2 occurs during systole, which is why it is classified as a systolic murmur. Systolic murmurs are often due to valve abnormalities like aortic stenosis or mitral regurgitation.

B. A third heart sound (S3): The S3 sound occurs after S2, not between S1 and S2. It is associated with rapid ventricular filling and may indicate heart failure.

C. A fourth heart sound (S4): The S4 sound occurs before S1, not between S1 and S2. It is associated with a stiff or hypertrophic ventricle.

D. An expected heart sound: A murmur is not considered an expected heart sound; it is typically abnormal and requires further investigation.

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Correct Answer is ["A","C"]

Explanation

A. Monitor your blood pressure on a regular basis: Regular monitoring of blood pressure is important for clients taking lisinopril to ensure the medication is effectively controlling hypertension.

B. Your cholesterol levels must be monitored monthly while taking this medication: Lisinopril does not typically require monthly cholesterol monitoring. This instruction is more relevant for statins or other lipid-lowering agents.

C. Report the development of a persistent dry cough.: A dry cough is a common side effect of ACE inhibitors like lisinopril. Clients should report this side effect as it may necessitate discontinuing the medication.

D. Your diet should include plenty of potassium-rich foods daily: Lisinopril can increase potassium levels, potentially causing hyperkalemia. Clients should be advised to avoid excessive potassium intake, not to increase it.

A. Expect to gain weight while taking this medication. B. Expect insomnia while taking this medication C. Use salt substitutes while taking this medication. D. Take the medication on an empty stomach.

Correct Answer is D

Explanation

A. Expect to gain weight while taking this medication. Weight gain is not a common side effect of captopril (an ACE inhibitor). This is incorrect advice.

B. Expect insomnia while taking this medication. Insomnia is not a common side effect of captopril, so this advice is not appropriate.

C. Use salt substitutes while taking this medication. Salt substitutes often contain potassium, and ACE inhibitors like captopril can cause hyperkalemia (high potassium levels). Therefore, this advice is incorrect and potentially harmful.

D. Take the medication on an empty stomach. Captopril should be taken on an empty stomach, usually 1 hour before meals, to improve its absorption and efficacy.

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While auscultating a client's heart sounds, the nurse hears turbulence between S1 and S2. The nurse should document this finding as which of the following?

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Naxlex Comprehensive Predictor Exams

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.)

Correct Answer is ["A","C"]

Explanation

A nurse is reinforcing teaching with a client who is about to start taking captopril to treat hypertension. Which of the following instructions should the nurse include to help the client manage this medication's adverse effects?

Correct Answer is D

Explanation

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