A provider has ordered captopril [Capoten] for a patient who has hypertension. The patient reports a history of swelling of the tongue and lips after taking enalapril [Vasotec] in the past. Which action by the nurse is correct?
a. Administer the captopril and monitor for adverse effects.
b. Hold the dose and notify the provider.
c. Request an order to administer fosinopril instead of captopril.
d. Reassure the patient that this is not a se-rious side effect.
B
Angioedema is a potentially life-threatening reaction to ACE inhibitors. If a patient has exhibited this reaction with any ACE inhibitor, he or she should not receive ACE inhibitors again. The nurse should hold the medication and notify the provider. Fosinopril is an ACE inhibitor and should not be given.
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