A 76-year-old client with heart failure has been prescribed captopril, an ACE inhibitor. What nursing intervention would be most appropriate when giving the first dose of this medica-tion?
A. Administer this medication 1 hour before meals to aid absorption.
B. Instruct the client to ask for assistance when arising from the bed.
C. Give the medication with milk to prevent stomach upset.
D. Monitor for hypokalemia.
B
Administration of the first dose of ACE inhibitors is associated with hypotension, usually termed first-dose effect. The nurse should instruct the client to seek assistance before arising from the bed to prevent injury from postural hypotension.
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Which statement is accurate in discussing herbal medications with a patient?
a. "The use of herbal medications is decreasing with the increased availability of more effective prescription drugs." b. "Herbal medications are not as potent or safe as prescription medications and should not be used." c. "Herbal drugs can sometimes be used, but it's important to discuss their use with your health care provider." d. "Herbal remedies have not demonstrated any adverse effects with their use."
The client has requested information from the nurse about how to lose weight. Which of the following is an appropriate client goal?
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a. "Avoid any products containing pseudoephedrine or caffeine." b. "Never give over-the-counter medications with Adderall." c. "Sudafed is a safe and effective decongestant." d. "Use any over-the-counter medication from the local pharmacy."