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)
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.
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The nurse is assessing a client's respirations. Characteristics of costal breathing include: Standard Text: Select all that apply
1. Use of external intercostal muscles. 2. Contraction of the diaphragm. 3. Use of accessory muscles. 4. Movement of the abdomen. 5. Movement of the chest upward and outward.
Loss of which of the following can result in the individual's experiencing external losses? (Select all that apply.)
a. Spouse b. Possession c. Career d. Limb e. Favorite piece of jewelry f. Friendship
Retractions of the intercostal spaces generally occur
a. upon inspiration. c. while coughing. b. upon expiration. d. throughout the respiratory cycle.
In what way can a nurse differentiate strong research from poor research?
A) By conducting the research B) Through author dialogue C) By critiquing the study D) Through the nurse's own informal investigation