The client is a 54-year-old male with a history of hypertension and type 2 diabetes. He takes spironolactone 25 mg per day, metformin 500 mg twice a day, and 25 units of insulin glargine.

The nurse notifies the provider that the client is having trouble remembering to take his second dose of captopril.

Which ACE inhibitors can be given only once per day? Select all that apply

A. Obtain a stool specimen to evaluate for occult blood and fat content:

While assessing stool content can provide valuable information, it is not the initial action needed in response to these side effects, which are commonly associated with orlistat use.

B. Instruct the client to increase her intake of saturated fats over the next week:

Increasing the intake of saturated fats is not a recommended action, especially when taking orlistat, as it may exacerbate the gastrointestinal side effects.

C. Advise the client to stop taking the drug and contact her healthcare provider:

While contacting the healthcare provider is important if the side effects are severe or persistent, the initial step should involve assessing the client's dietary choices and discussing possible dietary modifications before discontinuing the medication.

When a female client taking orlistat (a medication used for weight management) reports experiencing increasingly frequent oily stools and flatus, the nurse should take the following action:

D. Ask the client to describe her dietary intake history for the last several days.

Explanation: Oily stools and flatus are common side effects of orlistat, which works by blocking the absorption of dietary fat in the gastrointestinal tract. To assess the situation and provide appropriate guidance, the nurse should inquire about the client's dietary intake history. This will help determine if the side effects are related to the consumption of high-fat foods while taking the medication.

A. Obtain daily weights:

Daily weights are more relevant for monitoring fluid balance and assessing for edema, which is not a common adverse reaction to tamsulosin.

B. Perform a bladder scan:

Bladder scans may be used to assess for urinary retention or post-void residual urine, but this is not a primary intervention to monitor for adverse reactions to tamsulosin.

C. Assess urine output:

Monitoring urine output is important to assess for urinary retention or changes in urinary function, but it is not the primary intervention for monitoring adverse reactions to tamsulosin.

When a client with benign prostatic hyperplasia (BPH) receives a new prescription for tamsulosin, the nurse should perform the following intervention to monitor for an adverse reaction:

D. Monitor blood pressure.

Explanation: Tamsulosin is an alpha-blocker medication used to relax the smooth muscle in the prostate and bladder neck, thereby improving urinary flow in clients with BPH. However, a potential side effect of alpha-blockers, including tamsulosin, is orthostatic hypotension, which can lead to a sudden drop in blood pressure upon standing. Therefore, monitoring the client's blood pressure is essential to assess for any significant decreases that could result from this medication. Clients should be advised to rise slowly from a sitting or lying position to minimize the risk of orthostatic hypotension.