A patient who has recently begun taking captopril (Capoten) to ...

[robinn137]

A patient who has recently begun taking captopril (Capoten) to treat hypertension calls a clinic to report a persistent cough. The nurse will perform which action?
 
  a. Instruct the patient to go to an emergency department because this is a hypersensitivity reaction.
  b. Reassure the patient that this side effect is nothing to worry about and will diminish over time.
  c. Schedule an appointment with the provider to discuss changing to an angiotensin II receptor blocker (ARB).
  d. Tell the patient to stop taking the drug immediately since this is a serious side effect of this drug.

Question 2

The nurse is teaching a patient who has hypertension about long-term management of the disease and a beta blocker. The patient reports typically consuming 1 to 2 glasses of wine each evening with meals. How will the nurse respond?
 
  a. Beta blockers and wine cause a reflex hypertension.
  b. Four to 6 ounces of wine is considered safe with these medications.
  c. Wine in moderation helps you relax and get better blood pressure control.
  d. Wine increases the hypotensive effects of the beta blocker.

[Expo]

Answer to Question 1

ANS: C
An angiotensin-converting enzyme (ACE) inhibitor, such as captopril, can cause a constant, irritated cough. The cough will stop with discontinuation of the drug, and many patients can switch to an ARB medication. It does not indicate a hypersensitivity reaction. The cough will not diminish while still taking the drug. The patient does not need to stop taking the drug immediately.

Answer to Question 2

ANS: D
Patients who take beta blockers should avoid all alcohol because it increases the hypotensive effects. It does not cause reflex hypertension.

[robinn137]

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[Expo]

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