A female patient is taking combined hormonal contraceptives to prevent pregnancy. She visits the gynecology clinic and is noted to have a blood pressure of 176/102 mm Hg. The patient is started on enalapril mesylate 10 mg
In collaboration with the primary care provider, what other patient teaching should be provided based on her current medication regimen? A) Instruct on a no-salt diet.
B) Instruct to discontinue the contraceptives.
C) Instruct on the use of relaxation to decrease stress.
D) Instruct on the rationale for increasing contraceptive dose.
B
Feedback:
Because of widespread effects on the body tissues and reported adverse reactions, the patient should be instructed to discontinue hormonal contraceptives that contribute to hypertension. The patient should restrict salt but not eliminate salt. The implementation of relaxation techniques is important but not crucial to the current medical regimen.
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