Causes and risk factors
Causes and risk factors ( 7 Questions)
A nurse is reviewing the medication list of a client who has hypertension and diabetes mellitus. The client reports experiencing a dry cough for several weeks. The nurse should identify that this adverse reaction is most likely caused by which of the following medications?
Rationale: Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that can cause a dry, persistent cough as a common adverse reaction. The cough is due to the accumulation of bradykinin, which is a vasodilator and an inflammatory mediator that is normally degraded by ACE. The cough usually resolves after discontinuing the medication.
is incorrect because metformin is an antidiabetic agent that does not cause a cough as an adverse reaction. The most common adverse reactions of metformin are gastrointestinal disturbances, such as nausea, vomiting, diarrhea, and abdominal pain.
is incorrect because atenolol is a beta blocker that does not cause a cough as an adverse reaction. The most common adverse reactions of atenolol are bradycardia, hypotension, fatigue, and dizziness.
is incorrect because glipizide is a sulfonylurea that does not cause a cough as an adverse reaction. The most common adverse reactions of glipizide are hypoglycemia, weight gain, and skin rash.
Rationale: Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that can cause a dry, persistent cough as a common adverse reaction. The cough is due to the accumulation of bradykinin, which is a vasodilator and an inflammatory mediator that is normally degraded by ACE. The cough usually resolves after discontinuing the medication.
B) is incorrect because metformin is an antidiabetic agent that does not cause a cough as an adverse reaction. The most common adverse reactions of metformin are gastrointestinal disturbances, such as nausea, vomiting, diarrhea, and abdominal pain.
C) is incorrect because atenolol is a beta blocker that does not cause a cough as an adverse reaction. The most common adverse reactions of atenolol are bradycardia, hypotension, fatigue, and dizziness.
D) is incorrect because glipizide is a sulfonylurea that does not cause a cough as an adverse reaction. The most common adverse reactions of glipizide are hypoglycemia, weight gain, and skin rash.