Author Question: A client has a nighttime cough related to taking enalapril (Vasotec). Which nursing intervention is ... (Read 153 times)

BrownTown3 · **on:** Jun 25, 2018

A client has a nighttime cough related to taking enalapril (Vasotec). Which nursing intervention is most appropriate to promote rest for this client?

A) Have the client sit up at an 80 angle in a comfortable chair at night.
B) Have the client sleep on 2 or 3 pillows at night.
C) Contact the healthcare provider for a prescription for a cough-suppressant medication.
D) Contact the healthcare provider for a prescription for a sedative-hypnotic medication.

Question 2

A client reports morning headache that extends into the neck and goes away as the day wears on. Based on this initial data, which does the nurse suspect that the client is experiencing?

A) A symptom of hypertension
B) A sinus headache
C) A migraine headache
D) Spinal stenosis

jesse.fleming · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B

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 80 angle 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

Answer: A

When symptoms of hypertension do appear, they are usually vague. Headache, generally in the back of the head and neck, may be present on awakening, subsiding during the day. The client is not describing a migraine or sinus headache. There is not enough information to determine whether the client has spinal stenosis.