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 B

Explanation

Choice A rationale

Antiplatelets do not stimulate the plasmin system, which is involved in breaking down clots.

Choice B rationale

Antiplatelet medications work by altering the formation of the platelet plug, preventing platelets from clumping together.

Choice C rationale

They do not initiate the clotting cascade, which is a separate process from platelet aggregation.

Choice D rationale

They do not interfere with the clotting cascade directly but affect platelet aggregation. .

A. Increases hypoperfusion of basilar artery vascular bed. B. Decreases hypoperfusion of basilar artery vascular bed. C. Increases hyperperfusion of basilar artery vascular bed. D. Decreases hyperperfusion of basilar artery vascular bed.

Correct Answer is D

Explanation

Choice A rationale

Ergotamine does not increase hypoperfusion. It is used to constrict blood vessels to reduce blood flow.

Choice B rationale

Ergotamine does not decrease hypoperfusion. It is used to constrict blood vessels to reduce blood flow.

Choice C rationale

Ergotamine does not increase hyperperfusion. It is used to constrict blood vessels to reduce blood flow.

Choice D rationale

Ergotamine decreases hyperperfusion by constricting blood vessels in the basilar artery vascular bed, reducing the blood flow to relieve migraine headaches. .

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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

How do antiplatelet medications work?

Correct Answer is B

Explanation

What is the action of ergotamine?

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?