Which is a priority nursing intervention for a client who is prescribed enalapril (Vasotec) for antihypertensive treatment?
1. Monitor the client for headaches.
2. Take the client's blood pressure.
3. Review the client's lab results for hypokalemia.
4. Order a sodium-restricted diet for the client.
Correct Answer: 2
Rationale 1: Although headache is a side effect, it is not as important a priority as is another condition.
Rationale 2: Enalapril (Vasotec) might produce a first-dose phenomenon, resulting in profound hypotension, which could result in syncope.
Rationale 3: Enalapril (Vasotec) is more likely to cause hyperkalemia, not hypokalemia.
Rationale 4: Enalapril (Vasotec) does not affect sodium levels.
Global Rationale: Enalapril (Vasotec) might produce a first-dose phenomenon, resulting in profound hypotension, which could result in syncope. Although headache is a side effect, it is not as important a priority as is another condition. Enalapril (Vasotec) is more likely to cause hyperkalemia, not hypokalemia. Enalapril (Vasotec) does not affect sodium levels.
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