Reference no: EM133859997

Mrs. Schwartz is an 89-year-old lady who has come to your long term care facility. She has Type II diabetes. She has also recently been diagnosed with Alzheimer's disease. So far, she has exhibited mild cognitive impairment, as she is oriented to person, but not place or time. She is generally alert, and occasionally has episodes of "sun-downing." Her medications are as follows: metformin 500 mg po bid, galantamine 4 mg po bid, lisinopril 5 mg po bid, bupropion SR 100 mg po od, calcium carbonate 400 mg po od, ferrous fumarate 100 mg po od, Betoptic 0.25% 2 gtt OS bid, Seroquel 100 mg po prn hs and Percocet i-ii tablets po prn q6h, docusate sodium 100 mg po od.

1) Percocet is notorious for a common side effect, for which Mrs. Schwartz has been prescribed another medication in the list you have been given. What side effect is this?

2) Which physiological process is affected by the drug lisinopril? Is the process enhanced by lisinopril or inhibited?

3) What is ONE routine priority bedside assessment the nurse should perform prior to administering lisinopril? What adverse effect is the nurse trying to avoid by performing this assessment? (2) (Hint: the answer is related to the cardiovascular system, but it isn't a cardiovascular adverse effect. If you are having trouble understanding this question, be sure to ask for help during class!)