The nurse teaches the patient about lisinopril (Prinivil) and evaluates that additional teaching is required when the patient makes which statement?
1. "I will monitor my blood pressure until my next appointment."
2. "I will avoid using salt substitutes for seasoning."
3. "It takes a while for this medication to take effect."
4. "I don't need to worry about having blood tests done."
Correct Answer: 4
Rationale: The use of ACE inhibitors can lead to neutropenia, and the patient should be monitored for this side effect by having his absolute neutrophil count (ANC) measured. Potassium should be limited to avoid hyperkalemia. Blood pressure should be monitored to assess effectiveness of the medication. It takes a while for lisinopril (Prinivil) to become effective.
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