The client is prescribed enalapril (Vasotec) as treatment for heart failure. Which is the priority nursing assessment following the initial administration of this drug?
1. Assess the client for an irregular pulse.
2. Assess the client's blood pressure.
3. Assess the client for ototoxicity.
4. Assess the client for a serious rash.
Correct Answer: 2
Rationale 1: Irregular pulse is not an adverse effect of ACE inhibitors.
Rationale 2: Severe hypotension, known as first-dose phenomenon, can occur after the initial administration of enalapril (Vasotec).
Rationale 3: Ototoxicity is not associated with ACE inhibitors.
Rationale 4: Rash is not associated with ACE inhibitors.
Global Rationale: Severe hypotension, known as first-dose phenomenon, can occur after the initial administration of enalapril (Vasotec). Irregular pulse, ototoxicity, and rash are not adverse effects of ACE inhibitors.
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