A client has a nighttime cough related to taking enalapril. What ...

[Bob-Dole]

A client has a nighttime cough related to taking enalapril. What is the best nursing intervention to promote rest in this client?
 
  1. Contact the physician for an order for a cough-suppressant medication
   2. Have the client sleep on 2 or 3 pillows at night
   3. Have the client sit up at an 80angle in a comfortable chair at night
   4. Contact the physician for an order for a sedative-hypnotic medication

Question 2

A male client of Japanese descent complains of symptoms if urinary frequency and asks the nurse if he has benign prostatic hypertrophy (BPH). Which of the following statements by the nurse is appropriate?
 
  1. The tests will confirm or deny the diagnosis, but men of Japanese descent are not at high risk for this disease..
   2. No, you do not have BPH as you are of Asian descent..
   3. No, you are not old enough yet to have the disease..
   4. Where did you get an idea like that?

[mmj22343]

Answer to Question 1

2. Have the client sleep on 2 or 3 pillows a night

Rationale:
The client should sleep with the head elevated if a cough becomes troublesome when in supine position. A cough induced by an angiotensin-converting enzyme inhibitor- will not be relieved by cough medication. Sitting up at an 80angle would be effective but would be too uncomfortable for the client. A sedative-hypnotic medication would put the client to sleep, but it does nothing to address the client's cough.

Answer to Question 2

1. The tests will confirm or deny the diagnosis, but men of Japanese descent are not at high risk for this disease..

Rationale:
The nurse is always honest in replying to a client. The nurse tells the client that the tests will provide the actual results but that he is in a low risk category. Telling the client that he does not have the disease is not wise as, Japanese or not, he could have BPH. Asking a client where he got that idea is demeaning.

[Bob-Dole]

Thank you!

[mmj22343]

Always glad to help...