Sympathetic stimulation of the respiratory system leads to what?

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.

Choice A rationale

True. Xanthine derivatives like theophylline can cause serious adverse effects, including brain damage, when blood levels become too high. It is critical to monitor theophylline levels to prevent toxicity and associated neurological complications.

Choice B rationale

False. If xanthine levels remain within therapeutic ranges, the risk of brain damage is minimized. However, this statement is incorrect as it does not acknowledge the potential severity of the adverse effects linked to elevated theophylline levels.