Final answer:
Before prescribing an ACE inhibitor to a patient diagnosed with hypertension, the nurse should assess for past angioedema related to ACE inhibitors, kidney function, pregnancy in childbearing women, medication history for possible drug interactions, and the risk of hyperkalemia.
Step-by-step explanation:
Ray has been diagnosed with hypertension (HTN), and an ACE inhibitor is considered necessary. Before prescribing this medication, it is crucial for the nurse to assess for a number of factors. Due to the potential for severe adverse effects, particularly in certain populations the nurse should initially check for a history of angioedema related to previous ACE inhibitor therapy, evaluate kidney function (renal impairment) and consider the presence of conditions such as bilateral renal artery stenosis which can be worsened by ACE inhibitors. Additionally for women of childbearing age, it's essential to determine whether the patient is pregnant or planning to become pregnant as ACE inhibitors are contraindicated during pregnancy due to the risk of fetal harm.
Furthermore the nurse should review the patient's medication history to avoid drug interactions, especially with medications like diuretics which can potentiate hypotension when combined with ACE inhibitors. Monitoring potassium levels is also important because ACE inhibitors can cause hyperkalemia. This comprehensive assessment is mandatory to ensure the safe and effective use of ACE inhibitors in treating Ray's HTN.