After administering newly prescribed captopril (Capoten) to a ...

[mpobi80]

After administering newly prescribed captopril (Capoten) to a client with heart failure, the nurse implements interventions to decrease complications. Which priority intervention should the nurse implement for this client?
 
  a. Provide food to decrease nausea and aid in absorption.
  b. Instruct the client to ask for assistance when rising from bed.
  c. Collaborate with unlicensed assistive personnel to bathe the client.
  d. Monitor potassium levels and check for symptoms of hypokalemia.

Question 2

A nurse is teaching a client with heart failure who has been prescribed enalapril (Vasotec). Which statement should the nurse include in this client's teaching?
 
  a. Avoid using salt substitutes.
  b. Take your medication with food.
  c. Avoid using aspirin-containing products.
  d. Check your pulse daily.

[shayla]

Answer to Question 1

ANS: B
Administration of the first dose of angiotensin-converting enzyme (ACE) inhibitors is often associated with hypotension, usually termed first-dose effect. The nurse should instruct the client to seek assistance before arising from bed to prevent injury from postural hypotension. ACE inhibitors do not need to be taken with food. Collaboration with unlicensed assistive personnel to provide hygiene is not a priority. The client should be encouraged to complete activities of daily living as independently as possible. The nurse should monitor for hyperkalemia, not hypokalemia, especially if the client has renal insufficiency secondary to heart failure.

Answer to Question 2

ANS: A
Angiotensin-converting enzyme (ACE) inhibitors such as enalapril inhibit the excretion of potassium. Hyperkalemia can be a life-threatening side effect, and clients should be taught to limit potassium intake. Salt substitutes are composed of potassium chloride. ACE inhibitors do not need to be taken with food and have no impact on the client's pulse rate. Aspirin is often prescribed in conjunction with ACE inhibitors and is not contraindicated.