When providing instructions on quinapril hydrochloride, what should the nurse advise the client?

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Quinapril hydrochloride is an angiotensin-converting enzyme (ACE) inhibitor commonly prescribed for managing hypertension and heart failure. One important instruction for clients taking this medication is to rise slowly from a lying or sitting position. This is due to the potential side effect of orthostatic hypotension, where blood pressure can drop significantly upon standing, leading to dizziness or even fainting. Taking this precaution helps ensure patient safety.

The other options do not pertain correctly to the use of quinapril. For example, it is not necessary to take this medication with food, as it can be taken with or without food without affecting its efficacy. Monitoring blood sugar levels closely is more pertinent for patients using medications that specifically affect glucose metabolism, such as insulin or oral hypoglycemics, rather than ACE inhibitors like quinapril. Furthermore, consuming extra salt is generally not advised for those taking quinapril, especially if they are hypertensive, as it can counteract the blood pressure-lowering effects of the medication. Thus, instructing the patient to rise slowly is the most relevant and beneficial advice for their safety while on quinapril hydrochloride.

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