A hospitalized patient has been started on enalapril (Vasotec). The nurse would hold this drug and discuss which findings with the prescriber?
1. Cough
2. Light-headedness on ambulation
3. Swelling around the eyes
4. Sneezing
5. Difficulty swallowing
3,5
Rationale 1: Cough is a common side effect of this drug. The nurse should discuss the finding with the prescriber, but there is no need to hold the medication.
Rationale 2: Orthostatic hypotension is common at the beginning of therapy. The nurse would manage safety of the patient but would not hold the drug.
Rationale 3: Swelling around the eyes may indicate angioedema, which is a serious adverse effect. Holding the drug is indicated.
Rationale 4: Sneezing is not associated with enalapril (Vasotec).
Rationale 5: Difficulty swallowing may indicate swelling in the throat related to angioedema. Holding the drug is indicated.
Global Rationale: Swelling around the eyes may indicate angioedema, which is a serious adverse effect. Holding the drug is indicated. Difficulty swallowing may indicate swelling in the throat related to angioedema. Holding the drug is indicated. Cough is a common side effect of this drug. The nurse should discuss the finding with the prescriber, but there is no need to hold the medication. Orthostatic hypotension is common at the beginning of therapy. The nurse would manage safety of the patient but would not hold the drug. Sneezing is not associated with enalapril (Vasotec).
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