The nurse provided discharge education to a client newly prescribed inhaled ipratropium. Which client statement indicates an understanding of the education?

A. Increase your fiber and fluid intake to prevent constipation: Lisinopril is not associated with constipation as a common adverse effect. Teaching focused on bowel regulation is more appropriate for medications that reduce gastrointestinal motility, such as opioids, rather than ACE inhibitors.

B. Call 911 if you experience facial swelling or difficulty breathing: Facial swelling and difficulty breathing are hallmark signs of angioedema, a rare but life-threatening adverse effect of lisinopril. Immediate emergency care is required because airway obstruction can develop rapidly and become fatal without prompt intervention.

C. Eat foods high in potassium or take a potassium supplement: Lisinopril decreases aldosterone secretion, leading to potassium retention. Encouraging high-potassium intake or supplements increases the risk of hyperkalemia, which can result in dangerous cardiac dysrhythmias.

D. A dry cough is normal and the medication should be continued: A persistent dry cough is a known side effect of lisinopril, but it should be reported to the healthcare provider. The medication may need to be changed if the cough is bothersome or persistent, rather than automatically continued.

A. Heart failure: Terazosin is not primarily indicated for heart failure management. While it may have some vasodilatory effects that could theoretically reduce afterload, it is not a standard treatment for heart failure and does not address the core pathophysiology.

B. Peripheral vascular disease: Terazosin does not directly treat peripheral vascular disease. Its mechanism of action as an alpha-1 adrenergic blocker primarily targets vascular smooth muscle to lower systemic blood pressure rather than improve blood flow to peripheral tissues.

C. Pulmonary edema: Pulmonary edema is usually managed with diuretics, oxygen therapy, and addressing the underlying cause. Terazosin does not have an acute role in managing fluid overload or pulmonary congestion.

D. Chronic hypertension: Terazosin is an alpha-1 adrenergic blocker used to treat chronic hypertension by relaxing vascular smooth muscle, reducing peripheral vascular resistance, and lowering blood pressure. It is commonly prescribed for long-term blood pressure control, especially in clients who may also have benign prostatic hyperplasia.