A client with heart failure (HF) is being discharged with a new prescription for the angiotensin-converting enzyme (ACE) inhibitor captopril. The nurse's discharge instructions should include reporting which problem to the healthcare provider?
Question
A client with heart failure (HF) is being discharged with a new prescription for the angiotensin-converting enzyme (ACE) inhibitor captopril. The nurse's discharge instructions should include reporting which problem to the healthcare provider?
Solution
The nurse's discharge instructions should include advising the client to report any signs of angioedema to the healthcare provider. Angioedema is a serious potential side effect of ACE inhibitors like captopril. It is characterized by rapid swelling of the lips, tongue, throat or face, which can cause difficulty breathing. Other side effects to report may include persistent cough, lightheadedness, or symptoms of high potassium levels such as muscle weakness and slow heart rate.
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