A nurse is assisting in the care of a client suspected of having a tuberculosis infection. Which of the following personal protective equipment should the nurse wear when in the client's room?

A. Rise slowly from a sitting position to a standing position: Enalapril, an ACE inhibitor, can cause orthostatic hypotension, especially when therapy is initiated. Advising the client to rise slowly helps prevent dizziness and syncope related to sudden blood pressure drops.

B. Decrease daily fluid intake: Reducing fluid intake can worsen hypotension and dehydration, increasing the risk of syncope. Maintaining adequate hydration is important unless otherwise instructed by the provider.

C. Increase dietary potassium: While ACE inhibitors can raise potassium levels, the primary concern with syncope is hypotension, not potassium imbalance. Increasing potassium without monitoring could lead to hyperkalemia.

D. Withhold the medication if pulse rate is less than 60/min: Enalapril primarily affects blood pressure, not heart rate. Withholding based on pulse rate is not appropriate; monitoring blood pressure is more relevant for safety and management of side effects.

A. Limit the client's social interactions: Limiting social interactions can increase dependence and isolation, worsening the symptoms of dependent personality disorder. Encouraging appropriate social engagement supports skill-building and autonomy.

B. Maintain a verbal no harm contract with the client: No-harm contracts are typically used in clients at risk for self-harm or suicide. Dependent personality disorder does not inherently involve self-harm, so this instruction is not a priority in discharge teaching.

C. Assume responsibility for making the client’s decisions: Making decisions for the client reinforces dependency and undermines the development of autonomy. The goal of teaching is to promote independent decision-making and self-confidence.

D. Encourage the client to be assertive: Teaching the client to express needs, make choices, and assert themselves helps reduce reliance on others and fosters self-efficacy. Encouraging assertiveness is a key strategy in managing dependent personality disorder.