A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication?

A. Lisinopril, an ACE inhibitor, does not directly improve sexual function. In fact, some antihypertensives can cause sexual side effects, though lisinopril has a relatively low incidence. B. Lisinopril has no role in psychiatric disorders. Mood stabilization in bipolar disorder requires mood stabilizers such as lithium or valproate. C. Lisinopril does not directly affect lipid profiles. Cholesterol management requires dietary modification or lipid-lowering agents. D. Lisinopril inhibits angiotensin-converting enzyme (ACE), which reduces angiotensin II formation, leading to vasodilation and decreased aldosterone secretion. This results in lower blood pressure, which is the primary therapeutic effect of the medication.