The nurse is caring for a client who is prescribed mecamylamine for hypertension. Which teaching point should the nurse emphasize with this client?
1. Take the drug with food.
2. Take the drug early in the morning.
3. Expect diarrhea as the major side effect.
4. Change positions slowly.
Correct Answer: 4
Rationale 1: Taking the drug with food would have no effect.
Rationale 2: Taking the drug early in the morning would have no effect.
Rationale 3: Mecamylamine would be more likely to cause constipation.
Rationale 4: Mecamylamine can cause orthostatic hypotension.
Global Rationale: Mecamylamine can cause orthostatic hypotension; therefore, the client should be taught to change positions slowly. Taking the drug with food or early in the morning would have no effect. Mecamylamine would be more likely to cause constipation.
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