The patient has a nighttime cough related to taking enalapril ...

[michelleunicorn]

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

Question 2

The nurse is teaching the patient about lifestyle modifications to help manage the patient's hypertension. The nurse determines that teaching has been effective when the patient makes which statement?
 
  1. I need to get started on my medications right away.
  2. My father had hypertension, did nothing, and lived to be 90-years-old.
  3. I know I need to give up my cigarettes and alcohol.
  4. I won't be able to run in the marathon race anymore.

[brittiany.barnes]

Answer to Question 1

Correct Answer: 3
Rationale: The patient should sleep with the head elevated if a cough becomes troublesome when in supine position. An ACEI-induced cough will not be relieved by cough medication. Sitting up at an 80-degree angle would be effective, but would be too uncomfortable for the patient. A sedative-hypnotic medication would put the patient to sleep, but it does nothing to address the patient's cough.

Answer to Question 2

Correct Answer: 3
Rationale: Limiting intake of alcohol and discontinuing tobacco products are important nonpharmacological methods for controlling hypertension. Implementing lifestyle modifications may eliminate the need for pharmacotherapy, so the patient may not have to take medication right away. Increasing physical activity is an important lifestyle modification for controlling hypertension. The fact that the patient's father had hypertension and lived to be 90-years-old does not mean that the patient will have the same experience; the patient is in denial.

[michelleunicorn]

Thanks

[brittiany.barnes]

Welcome