A nurse at an outpatient clinic receives a call from a client who reports experiencing syncope after starting a new prescription for enalapril. Which of the following instructions should the nurse give the client?

A. Incorrect. While monitoring dietary potassium might be relevant for some clients on certain medications, it is not the primary action for addressing syncope related to enalapril. B. Incorrect. Withholding the medication based solely on pulse rate is not an appropriate action. The nurse should provide guidance on appropriate management. C. Incorrect. Decreasing daily fluid intake is not likely to address the syncope related to enalapril. D. Correct. Enalapril is an ACE inhibitor, and syncope can be a side effect due to changes in blood pressure. Advising the client to rise slowly from a sitting position can help prevent sudden drops in blood pressure and decrease the risk of syncope.