{"id":142160,"date":"2024-09-21T13:36:11","date_gmt":"2024-09-21T13:36:11","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=142160"},"modified":"2024-09-21T13:36:13","modified_gmt":"2024-09-21T13:36:13","slug":"a-nurse-is-teaching-about-adverse-effects-with-a-client-who-is-starting-to-take-captopril","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/21\/a-nurse-is-teaching-about-adverse-effects-with-a-client-who-is-starting-to-take-captopril\/","title":{"rendered":"A nurse is teaching about adverse effects with a client who is starting to take captopril."},"content":{"rendered":"\n<p>A nurse is teaching about adverse effects with a client who is starting to take captopril. Which of the following findings should the nurse identify as an adverse effect of the medication to report to the provider?<\/p>\n\n\n\n<p>A.<br>Tinnitus<\/p>\n\n\n\n<p>B.<br>Cough<\/p>\n\n\n\n<p>C.<br>Polyuria<\/p>\n\n\n\n<p>D.<br>Blurred vision<\/p>\n\n\n\n<p><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\">The Correct answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n<p>The correct answer is <strong>B. Cough<\/strong>.<\/p>\n\n\n\n<p><strong>Explanation:<\/strong><\/p>\n\n\n\n<p>Captopril is an angiotensin-converting enzyme (ACE) inhibitor, commonly used to treat high blood pressure (hypertension), heart failure, and to improve survival after heart attacks. It works by relaxing blood vessels so that blood can flow more easily, reducing the workload on the heart.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Adverse Effects of Captopril:<\/strong><\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Cough:<\/strong> One of the well-known and common adverse effects of ACE inhibitors, including captopril, is a persistent dry cough. This occurs in a significant percentage of patients taking ACE inhibitors due to the accumulation of bradykinin, a substance that is normally broken down by the enzyme that ACE inhibitors block. Bradykinin causes irritation in the respiratory tract, leading to a dry, nonproductive cough. Although this cough is not harmful, it can be very bothersome to the patient, and in some cases, it leads to discontinuation of the medication. The nurse should inform the client that this is a common adverse effect and encourage them to report it to the provider, as an alternative medication like an angiotensin II receptor blocker (ARB) may be considered.<\/li>\n\n\n\n<li><strong>Other Common Adverse Effects:<\/strong> Besides cough, other adverse effects of captopril include hypotension (especially after the first dose), hyperkalemia (elevated potassium levels), and angioedema (swelling of the deeper layers of the skin, often around the eyes and lips). Angioedema can be life-threatening and requires immediate medical attention.<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Incorrect Options:<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A. Tinnitus:<\/strong> This is not a recognized adverse effect of captopril. Tinnitus (ringing in the ears) is more commonly associated with medications like aspirin or certain antibiotics, not ACE inhibitors.<\/li>\n\n\n\n<li><strong>C. Polyuria:<\/strong> Increased urination (polyuria) is not a typical adverse effect of captopril. This symptom is more associated with conditions like diabetes or diuretics (water pills).<\/li>\n\n\n\n<li><strong>D. Blurred vision:<\/strong> Blurred vision is not a common adverse effect of ACE inhibitors like captopril. It is more commonly associated with medications that affect the eyes or central nervous system.<\/li>\n<\/ul>\n\n\n\n<p>Thus, <strong>cough<\/strong> is the adverse effect that should be reported to the provider.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nurse is teaching about adverse effects with a client who is starting to take captopril. Which of the following findings should the nurse identify as an adverse effect of the medication to report to the provider? A.Tinnitus B.Cough C.Polyuria D.Blurred vision The Correct answer and Explanation is: The correct answer is B. Cough. Explanation: [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-142160","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/142160","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=142160"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/142160\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=142160"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=142160"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=142160"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}