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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Schedule I drugs have no medical use and high abuse potential, unlike morphine.
Choice B rationale
Schedule III drugs have less abuse potential than Schedule II, making this incorrect for morphine.
Choice C rationale
Schedule IV drugs have even lower abuse potential, incorrect for morphine.
Choice D rationale
Schedule II drugs have high abuse potential with medical use, fitting morphine's classification.
Correct Answer is D
Explanation
Choice A rationale
This choice is incorrect. Cholinergic agonists primarily affect acetylcholine receptors, not GABA receptors. GABA receptors are involved in the inhibitory neurotransmission in the central nervous system and are the target of different drug classes, such as benzodiazepines and barbiturates, which are not related to cholinergic agonists.
Choice B rationale
This choice is incorrect. Cholinergic agonists do not decrease norepinephrine activity. Norepinephrine is a neurotransmitter involved in the sympathetic nervous system response, which is different from the cholinergic system. Drugs that decrease norepinephrine activity would have a different mechanism of action, such as adrenergic antagonists.
Choice C rationale
This choice is incorrect. The primary action of cholinergic agonists is not to increase dopamine activity. Dopamine is another neurotransmitter involved in various brain functions, including reward and motor control. Cholinergic agonists specifically target acetylcholine receptors, enhancing their activity, which is not related to dopamine receptors.
Choice D rationale
This choice is correct. Cholinergic agonists increase the activity of acetylcholine receptor sites throughout the body. These drugs mimic the action of acetylcholine, a neurotransmitter that plays a key role in the parasympathetic nervous system, which regulates functions such as muscle contraction, gland secretion, and heart rate. Enhancing acetylcholine activity helps in conditions like myasthenia gravis and certain types of glaucoma.
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