Question

The nurse is evaluating the teaching done with a patient who has a new prescription for fosinopril (Monopril). Which statement made by the patient indicates a need for further teaching?A) "I can take this medicine with breakfast each morning."
B) "I will call if I notice a rash or wheals on my skin."
C) "I will use a salt substitute to lower my sodium intake."
D) "I will call if I develop a bothersome cough."

Answer 1

Answer:

C) "I will use a salt substitute to lower my sodium intake."

Explanation:

A salt-substitute such as potassium sparing diuretics cannot be taken concomitantly with Monopril because it causes a rise in serum potassium and risk of hyperkalemia increases. the mechanism of ACE inhibitors such as Monopril is to decrease potassium excretion and cause potassium retention. Hence, any salt substitute will furthermore increase potassium serum levels. This statement suggests that nurse should give further education to the client.