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?

Choice A rationale

Chronic Obstructive Pulmonary Disease (COPD) is a progressive disease characterized by obstructed airflow from the lungs. While related to respiratory health, it is distinct from tuberculosis.

Choice B rationale

Bronchiectasis is a condition involving the permanent enlargement of parts of the airways of the lung, often caused by infection or other lung conditions but is different from tuberculosis.

Choice C rationale

Emphysema is a chronic lung condition where the alveoli (air sacs) are damaged, leading to breathing difficulties. This condition is usually associated with smoking and is distinct from tuberculosis.

Choice D rationale

Consumption is an old term for tuberculosis, reflecting the wasting away (consuming) nature of the disease due to the progressive weight loss and weakness it causes.

Choice A rationale

Asking the patient what time of day the medication is taken can help identify if taking it at a different time might alleviate sleep disturbances. SSRIs like sertraline can cause insomnia if taken later in the day.

Choice B rationale

Recommending a weekly dosage is inappropriate and could potentially disrupt the therapeutic effect. SSRIs should be taken daily, as prescribed.

Choice C rationale

Counseling the patient to take the medication at bedtime could worsen sleep disturbances, as sertraline may cause insomnia in some individuals. Timing should be adjusted based on patient response.

Choice D rationale

Suggesting a lower dose without consulting the provider may not address the issue effectively and could reduce the efficacy of the medication. Dosage adjustments should be made based on clinical assessment and provider recommendation.