Question

The community health nurse teaches a client at home. Lisinopril has been prescribed for the client. Which statement if made by the client indicated that further teaching is necessary?

a. "I should notify my health care provider of symptoms of hypotension such as dizziness or fainting"
b. "I should avoid the use of salt substitute containing potassium"
c. "If a dose is missed I will take it as soon as possible but not too close to the next dose"
d. "Too much calcium in my diet will elevate my blood pressure"

Answer 1

The incorrect statement about dietary calcium necessitates further teaching. Lisinopril treats hypertension by relaxing blood vessels, and patients should watch for hypotension symptoms and avoid potassium-based salt substitutes.

Step-by-step explanation:

The statement by the client that "Too much calcium in my diet will elevate my blood pressure" indicates that further teaching is necessary. Lisinopril is a medication commonly used to treat hypertension, also known as high blood pressure, and does not interact with dietary calcium in a way that would elevate blood pressure. Instead, lisinopril works by relaxing blood vessels, making it easier for the heart to pump blood, and thus lowering blood pressure. It is important for clients to recognize signs of hypotension like dizziness and fainting as side effects of the medication. They should also avoid the use of salt substitutes containing potassium, because lisinopril can raise potassium levels in the blood, creating the risk of hyperkalemia. Taking a missed dose as soon as possible, but not doubling up if it's too close to the next dose, is also advised.