A nurse is reinforcing teaching with a client about how to collect stool specimens for a fecal occult blood test. Which of the following statements by the client indicates an understanding of the teaching?

Angiotensin-converting enzyme (ACE) inhibitors are commonly prescribed antihypertensive medications that work by blocking the conversion of angiotensin I to angiotensin II, resulting in vasodilation and decreased blood pressure. A known early adverse effect is orthostatic hypotension, which can cause dizziness or lightheadedness when changing positions. Patient education focuses on preventing falls, promoting safety during position changes, and encouraging adherence to therapy despite transient side effects.

Rationale:
A. Discontinuing the medication is not appropriate without consulting the healthcare provider. ACE inhibitors are effective long-term treatments for hypertension, and abrupt discontinuation can lead to uncontrolled blood pressure. Mild orthostatic symptoms are common initially and are usually managed with safety strategies rather than stopping the drug.

B. Taking a daily potassium supplement is not recommended because ACE inhibitors can increase serum potassium levels by reducing aldosterone secretion. This places the client at risk for hyperkalemia, which can cause cardiac dysrhythmias. Therefore, potassium supplementation should only be used if specifically prescribed and monitored.

C. Restricting daily fluid intake is inappropriate because adequate hydration helps maintain circulating blood volume and may reduce orthostatic symptoms. Fluid restriction could worsen hypotension and increase the risk of dizziness or fainting. Clients are generally encouraged to maintain appropriate fluid intake unless otherwise indicated.

D. Sitting back down for a few minutes when lightheadedness occurs is the correct safety instruction. This helps prevent falls by allowing blood pressure to stabilize before resuming movement. Clients should also be taught to rise slowly from sitting or lying positions to minimize orthostatic hypotension effects.

Postmortem care involves physical, psychological, and cultural considerations following a client’s death. Nursing care at this stage focuses on maintaining dignity, respecting cultural and religious beliefs, and preparing the body appropriately for viewing or transfer. Different cultures have specific rituals and preferences regarding handling of the body after death. Sensitivity to these practices is a key component of holistic end-of-life nursing care.

Rationale:
A. Asking the client’s family about cultural or religious practices is essential because postmortem care must be individualized to respect beliefs and traditions surrounding death. Some cultures have specific rituals regarding body preparation, positioning, and timing of viewing. This action ensures culturally competent care and supports the family’s emotional and spiritual needs during bereavement.

B. Removing dentures before rigor mortis is not appropriate as a routine action unless indicated for body preparation based on cultural or facility policy. Dentures are often left in place to maintain a natural facial appearance, especially for viewing by family. Premature removal without consideration of appearance or protocol may alter the deceased’s appearance unnecessarily.

C. Turning on all the lights in the room before the family views the client’s body is not required and may be distressing. A calm, dim, and peaceful environment is generally preferred to support grieving and provide privacy. Lighting should be adjusted based on family preference and comfort rather than uniformly increased.

D. Positioning the client’s bed flat without a pillow under the head is incorrect because it may lead to an unnatural appearance and fluid pooling in the face. Instead, the head is typically slightly elevated with a pillow to promote a peaceful and natural appearance. Proper positioning supports dignity and family viewing preferences during postmortem care.