Question

The client with hypertension has an order for lisinopril plus hydrochlorothiazide (HTCZ) (Zestorectic). Prior to his initial dose, the client should be taught to: A. Check his pulse rate daily B. Remain in bed for 3-4 hours after taking the initial dose C. Expect a drop in his cholesterol level within six weeks D. Increase his intake of folic-acid-rich food such as orange juice

Short answer

Answer: Remain in bed for 3-4 hours after taking the initial dose (statement B), subject to verification with a reliable medical source.

Step-by-step solution

Review the medications and their functions

To answer the exercise, we first need to understand the medications. Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor and is used to treat high blood pressure. Hydrochlorothiazide (HTCZ) is a thiazide diuretic, which is used to treat high blood pressure by decreasing water retention in the body.

Analyze the choices

Now that we understand the medications, let's analyze each choice: A. Check his pulse rate daily: Pulse rate can be affected by heart rate and blood pressure, but it is not the most important parameter for this medication. B. Remain in bed for 3-4 hours after taking the initial dose: This statement needs to be checked for accuracy from reliable medical sources. C. Expect a drop in his cholesterol level within six weeks: This statement is unrelated to the medications prescribed since they are for hypertension, not cholesterol. D. Increase his intake of folic-acid-rich food such as orange juice: This statement is unrelated to the medications and their functions.

Check for accurate information

We need to verify the accuracy of statement B - checking reliable medical sources will help us understand if this instruction is relevant to the medications prescribed.

Evaluate instructions for relevance

After analyzing the choices and checking the accuracy of the information, we can conclude that: - Choices A, C, and D are not related to the medications or their functions. - Choice B (remaining in bed for 3-4 hours after taking the initial dose) should be verified with a reliable medical source to ensure relevance.

Choose the correct answer

If the information in statement B is correct and applicable to the medications prescribed, then the correct answer would be: B. Remain in bed for 3-4 hours after taking the initial dose However, if the information is found to be inaccurate, then there might not be a correct answer among the choices provided in the exercise.