A nurse is assessing a client who complains of a persistent, nonproductive dry cough after starting a new prescription for hypertension. Which of the following medications does the nurse suspect?
Captopril (Capoten)
Nifedipine (Adalat)
Verapamil (Calan)
Propranolol (Inderal)
The Correct Answer is A
A. Captopril (Capoten) is an ACE inhibitor known to cause a persistent dry cough as a common side effect due to the accumulation of bradykinin.
B. Nifedipine (Adalat) is a calcium channel blocker and typically does not cause a dry cough.
C. Verapamil (Calan) is also a calcium channel blocker and is not associated with a dry cough.
D. Propranolol (Inderal) is a beta-blocker and does not usually cause a dry cough.
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Related Questions
Correct Answer is D
Explanation
A. Nicotine cravings or withdrawal are expected and do not require immediate notification of the provider.
B. Headache and nausea are common side effects but do not require immediate notification unless severe.
C. Dry mouth or constipation can be side effects but are not typically urgent concerns.
D. Varenicline has been associated with serious neuropsychiatric effects, including mood swings, depression, and suicidal ideation. These symptoms require immediate medical attention.
Correct Answer is A
Explanation
A. Calcium channel blockers can cause or exacerbate heart failure due to their effects on myocardial contractility and fluid balance. Monitoring for signs of worsening heart failure is crucial.
B. While drowsiness can occur, it is not typically considered a dangerous side effect of calcium channel blockers.
C. Headache is a common side effect of CCBs, but not usually dangerous compared to heart failure.
D. Calcium channel blockers are used to treat hypertension, so they typically would not cause dangerous hypertension.
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