A patient taking lisinopril (Zestril) for heart failure reports a nagging, nonproductive cough. What is the nurse's best first action?
a. Ask the patient whether he or she has received the annual influenza vaccination.
b. Ask the patient how much the cough is interfering with sleep or other activities.
c. Document the report as the only action.
d. Notify the prescriber immediately.
B
Many conditions can cause a cough, but a dry, nonproductive cough is the most common side effect of lisinopril and all other ACE inhibitors. Coughs associated with pulmonary infections or worsening of heart failure are usually productive. After assessing the patient's issues with the cough, if the patient is uncomfortable or if the cough interferes with sleeping and other activities, report these problems to the prescriber.
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