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    Pharmacology proctored exam (regular)

    A client is prescribed an angiotensin-converting enzyme (ACE) inhibitor. What intervention should the nurse include in the plan of care to minimize the risk for injury related to adverse effects of this classification of medications?

    Explanation & Rationale

    A. Falls precautions: ACE inhibitors, like enalapril, can cause a significant drop in blood pressure, especially after the first dose, leading to dizziness or lightheadedness. This increases the risk of falls. Implementing falls precautions is an essential intervention to minimize the risk of injury. B. Low-fiber diet: A low-fiber diet is not indicated for clients taking ACE inhibitors. In fact, a high-fiber diet is recommended for overall health. ACE inhibitors are not known to cause gastrointestinal issues that would require a low-fiber diet. C. Monitoring for orbital edema: While ACE inhibitors can cause facial swelling in some cases, orbital edema is more likely to occur with other conditions or medications, not specifically ACE inhibitors. D. Monitoring temperature of extremities: Monitoring the temperature of extremities is generally important in conditions affecting circulation or peripheral vascular health. However, for ACE inhibitors temperature monitoring is not a primary concern.

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