Author Question: A patient started taking ramipril earlier in the week for the treatment of hypertension. At her ... (Read 26 times)

dmcintosh · **on:** Jul 23, 2018

A patient started taking ramipril earlier in the week for the treatment of hypertension. At her latest clinic visit, she has stated that she now has a nagging, dry cough. How should the nurse best follow up the patient's statement?

A) Inform the patient that the drug should be immediately discontinued.
B) Inform the patient that this is an adverse effect of the medication that may lead to pneumonitis.
C) Explain why it will be necessary to obtain a sputum sample.
D) Explain that drugs like ramipril often cause a cough.

Question 2

A patient in her 60s has been living with schizophrenia since she was a young woman and was treated with chlorpromazine for many years.

The nurse who is meeting the patient for the first time observes that the patient continually smacks her lips and appears to be chewing. The nurse should recognize that this patient is likely experiencing what problem? A) Tardive dyskinesia
B) Akathisia
C) Dystonias
D) Neuroleptic malignant syndrome

kardosa007 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Feedback:
ACE inhibitors may precipitate a cough and may necessitate discontinuation of the drug. This is not, however, an emergency or an indication of lung infection or lung inflammation.

Answer to Question 2

A
Feedback:
Tardive dyskinesia occurs as the result of long-term use of chlorpromazine. Patients may experience lip smacking, tongue protrusion, and facial grimaces and may have choreic movements of trunk and limbs. Akathisia is a form of restlessness, and dystonias are uncoordinated movements. Neuroleptic malignant syndrome is an acute complication.