A nurse is reviewing the medication administration record (MAR) of a client who has hypertension. The nurse notices that the client has been prescribed both lisinopril and spironolactone. Which of the following actions should the nurse take?

Consuming alcohol on a regular basis is a modifiable risk factor for developing breast cancer. The nurse should ask this question to assess the client's current lifestyle habits and provide education on reducing alcohol intake.

Incorrect choices:

a) "Have you ever had a mammogram?": This is incorrect as it does not assess a risk factor for developing breast cancer, but rather a screening method for detecting breast cancer.

b) "Do you perform monthly breast self-examinations?": This is incorrect as it does not assess a risk factor for developing breast cancer, but rather a preventive measure for early detection of breast cancer.

c) "Have you ever used oral contraceptives?": This is incorrect as it does not assess a current risk factor for developing breast cancer, but rather a past exposure that may or may not have an effect on the client's risk.

Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure by blocking the conversion of angiotensin I to angiotensin II, which causes vasoconstriction. Spironolactone is a potassium-sparing diuretic that lowers blood pressure by increasing urine output and preventing sodium and water reabsorption.

However, both medications can also increase potassium levels in the blood, which can lead to hyperkalemia, a potentially life-threatening condition. The nurse should hold both medications and notify the provider of this potential drug interaction.

Incorrect choices:

a) Administer both medications as ordered: This is incorrect as it exposes the client to the risk of hyperkalemia.

c) Hold lisinopril and administer spironolactone: This is incorrect as it does not eliminate the risk of hyperkalemia from spironolactone alone.

d) Hold spironolactone and administer lisinopril: This is incorrect as it does not eliminate the risk of hyperkalemia from lisinopril alone.