A client with congestive heart failure (CHF) is being discharged with a new prescription for captopril (Capoten), an angiotensin-converting enzyme (ACE) inhibitor. The nurse's discharge instruction should include reporting which problem to the health care provider? *1 pointA. Weight loss.B. Dry persistent coughC. Muscle cramps.D. Dry mucus membranes
Question
A client with congestive heart failure (CHF) is being discharged with a new prescription for captopril (Capoten), an angiotensin-converting enzyme (ACE) inhibitor. The nurse's discharge instruction should include reporting which problem to the health care provider? *1 pointA. Weight loss.B. Dry persistent coughC. Muscle cramps.D. Dry mucus membranes
Solution
The correct answer is B. Dry persistent cough.
Here's why:
Captopril (Capoten) is an angiotensin-converting enzyme (ACE) inhibitor. It is used to treat conditions like high blood pressure and heart failure. One of the known side effects of ACE inhibitors is a dry, persistent cough. This happens because ACE inhibitors cause the body to produce more bradykinin, a chemical that can cause inflammation and irritation in the lungs.
A. Weight loss is not typically associated with ACE inhibitors. If a patient experiences significant weight loss, it might be due to other health issues or side effects from other medications.
C. Muscle cramps are not a common side effect of ACE inhibitors. They could be a sign of other conditions like dehydration or electrolyte imbalances.
D. Dry mucus membranes are not a typical side effect of ACE inhibitors. This symptom could be due to dehydration or other medications.
Therefore, if a patient taking captopril experiences a dry, persistent cough, they should report it to their healthcare provider as it could be a side effect of the medication.
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