A patient who has recently begun taking captopril (Capoten) to treat HTN calls a clinic to report a persistent cough.
The nurse will perform which action?

Reassure the client that this is nothing to worry about and will diminish over time.

Tell the patient to stop taking the drug immediately as this is a serious side effect of the drug.

Schedule an appointment with the provider to discuss changing to an ARB.

Instruct the patient to go to the emergency room immediately as this is a hypersensitivity reaction.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Reassuring the client without addressing the persistent cough would not be appropriate as it may signal a need for a different medication. The ACE inhibitor captopril can cause a bothersome, persistent cough in some patients due to increased bradykinin levels.

Choice B rationale

Instructing the patient to stop the medication immediately is not advised without consulting the healthcare provider. While the cough is a known side effect, stopping the medication abruptly may lead to unmanaged hypertension.

Choice C rationale

Scheduling an appointment with the provider to discuss changing to an angiotensin II receptor blocker (ARB) is appropriate. ARBs do not typically cause a persistent cough, making them a suitable alternative for patients who experience this side effect with ACE inhibitors.

Choice D rationale

Instructing the patient to go to the emergency room immediately is unnecessary as the persistent cough is a common side effect of ACE inhibitors and not an emergency situation. Emergency action is warranted for symptoms of angioedema, such as swelling of the face or throat.

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Correct Answer is A

Explanation

Choice A rationale

Cough and sneeze reflexes indeed serve to clear the airway of irritants and secretions.

Choice B rationale

Stating false would be incorrect as these reflexes are protective mechanisms for the respiratory system. .

A. Attempt to determine what type of pain the patient has. B. Request an order for intravenous opioid analgesic. C. Administer acetaminophen (Tylenol). D. Ask the patient to rate the pain on a scale of 1-10.

Correct Answer is D

Explanation

Choice A rationale

Determining the type of pain is secondary to assessing pain severity.

Choice B rationale

Intravenous opioids are strong and should be considered only after evaluating pain severity.

Choice C rationale

Administering acetaminophen without assessing pain severity first is not appropriate.

Choice D rationale

Asking the patient to rate their pain helps gauge severity, guiding further pain management steps.

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A patient who has recently begun taking captopril (Capoten) to treat HTN calls a clinic to report a persistent cough.The nurse will perform which action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The purpose of the cough and sneeze reflexes is to clear the airway.

Correct Answer is A

Explanation

The nurse is performing an admission assessment on a stable patient admitted after a motor vehicle accident.The patient reports having bad pain.What will the nurse do first?

Correct Answer is D

Explanation

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A patient who has recently begun taking captopril (Capoten) to treat HTN calls a clinic to report a persistent cough.
The nurse will perform which action?