A nurse administers an ACE inhibitor to a patient who is taking the drug for the first time. What will the nurse do?
a. Instruct the patient not to get up without assistance.
b. Make sure the patient takes a potassium supplement.
c. Report the presence of a dry cough to the prescriber.
d. Request an order for a diuretic to counter the side effects of the ACE inhibitor.
A
Severe hypotension can result with the first dose of an ACE inhibitor. The patient should be dis-couraged from getting up without assistance. Potassium supplements are contraindicated. A dry cough is an expected side effect that eventually may cause a patient to discontinue the drug; however, it is not a contraindication to treatment. Diuretics can exacerbate hypotension and should be discontinued temporarily when a patient starts an ACE inhibitor.
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