If a nurse is transcribing a prescription for spironolactone for a client on an ACE inhibitor, what should the nurse do?

In this scenario, the nurse should verify both prescriptions with the healthcare provider due to the potential for significant interactions between spironolactone and ACE inhibitors. Spironolactone is a potassium-sparing diuretic, and when used in conjunction with ACE inhibitors, there is a risk of hyperkalemia, or elevated potassium levels. This condition can be serious and may lead to cardiac complications.

By verifying both prescriptions, the nurse ensures that the healthcare provider is aware of all medications the client is taking and that appropriate monitoring strategies are in place. This action promotes patient safety and encourages collaborative decision-making to manage the client’s medication regimen effectively. It is essential for nurses to advocate for their clients and ensure that any potential risks associated with concurrent medications are communicated and addressed.