Practice Question
A patient who has been taking antihypertensive drugs for a few months states that a new, persistent dry cough is very bothersome. The nurse knows that this cough is an adverse effect of which class of antihypertensive drugs?
Answer Choices:
Correct Answer:
Angiotensin-converting enzymes (ACE) inhibitors
Rationale:
✍ACE inhibitors (e.g., lisinopril, enalapril) can cause a persistent, dry, nonproductive cough in some patients.
✍This side effect results from the accumulation of bradykinin, a peptide that stimulates cough receptors in the lungs.
✍This is a well-documented and bothersome adverse effect that often necessitates switching the patient to an angiotensin II receptor blocker (ARB), which doesn't cause bradykinin accumulation.
✍The nurse must be aware of this to advocate for appropriate medication changes.
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This question is from RN Fundamentals Exam Special~ADN which contains 44 questions.
More Questions from This Exam
The nurse is preparing to assess the blood pressure of a 3-year- old. How should the nurse proceed?
Answer Choices:
A. Explain the procedure to the child.
B. Choose the cuff that says "Child" instead of "Infant"
C. Use the diaphragm portion of the stethoscope to detect Korotkoff sounds.
D. Obtain the reading before the child has a chance to settle down
A nurse auscultates heart sounds. When the nurse hears S2, which valves is the nurse hearing close?
Answer Choices:
A. Aortic and Mitral
B. Mitral and Pulmonic
C. Mitral and Tricuspid
D. Aortic and Pulmonic
Which action should the nurse take when using critical thinking to make clinical decisions?
Answer Choices:
A. Reads and follows the health care provider's orders.
B. Accepts one established way to provide care.
C. Makes decisions based on intuition.
D. Consider what is important in any given situation.
A nurse is assessing a client's radial pulse and determines that the pulse is irregular. Which of the following actions should the nurse take?
Answer Choices:
A. Assess the pedal pulses for a full minute
B. Assess the apical pulse with a doppler device
C. Assess the apical pulse for a full minute.
D. Assess the pedal pulses with a Doppler device
The nurse is caring for a patient who is being discharged from the hospital after being treated for hypertension. The patient is instructed to take blood pressure 3 times a day and to keep a record of the readings. The nurse recommends that the patient purchase a portable electronic blood pressure device. Which other information will the nurse share with the patient?
Answer Choices:
A. You will need to use a stethoscope properly
B. You can move your arm during the reading
C. You can apply the cuff in any manner
D. You will need to recalibrate the machine
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4