What is a priority nursing intervention for a patient who has just begun antihypertensive treatment with enalapril (Vasotec)?
1. Monitor the patient for headaches.
2. Take the patient's blood pressure.
3. Order a sodium-restricted diet for the patient.
4. Review the patient's lab results for hypokalemia.
2
Rationale 1: Although headache is a side effect, it is not the priority.
Rationale 2: Enalapril (Vasotec) may produce a first-dose phenomenon resulting in profound hypotension, which may result in syncope.
Rationale 3: Enalapril (Vasotec) does not affect sodium levels.
Rationale 4: Enalapril (Vasotec) is more likely to cause hyperkalemia, not hypokalemia.
Global Rationale: Enalapril (Vasotec) may produce a first-dose phenomenon resulting in profound hypotension, which may result in syncope. Enalapril (Vasotec) is more likely to cause hyperkalemia, not hypokalemia. Enalapril (Vasotec) does not affect sodium levels. Although headache is a side effect, it is not as big a priority as profound hypotension.
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