The patient receives enalapril (Vasotec) as treatment for heart failure. What is the best nursing assessment following the initial administration of this drug?
1. Assess the patient for ototoxicity.
2. Assess the patient's blood pressure.
3. Assess the patient for an irregular pulse.
4. Assess the patient for a serious rash.
Correct Answer: 2
Rationale: Severe hypotension, known as first-dose phenomenon, can occur after the initial administration of enalapril (Vasotec). Ototoxicity is an adverse effect of loop diuretics. Stevens–Johnson syndrome is an adverse effect of beta blockers. Irregular pulse is an adverse effect of beta blockers.
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