The charge nurse observes a new registered nurse (RN) doing discharge teaching for a patient with hypertension who has a new prescription for enalapril (Vasotec). The charge nurse will need to intervene if the new RN tells the patient to
a. increase the dietary intake of high-potassium foods.
b. make an appointment with the dietitian for teaching.
c. check the blood pressure (BP) with a home BP monitor at least once a day.
d. move slowly when moving from lying to sitting to standing.
ANS: A
The ACE inhibitors cause retention of potassium by the kidney, so hyperkalemia is a possible adverse effect. The other teaching by the new RN is appropriate for a patient with newly diagnosed hypertension who has just started therapy with enalapril.
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