The nurse has just finished teaching a hypertensive patient about the newly prescribed ramipril (Altace). Which patient statement indicates that more teaching is needed?
a. "A little swelling around my lips and face is okay."
b. "The medication may not work as well if I take any aspirin."
c. "The doctor may order a blood potassium level occasionally."
d. "I will call the doctor if I notice that I have a frequent cough."
ANS: A
Angioedema occurring with angiotensin-converting enzyme (ACE) inhibitor therapy is an indication that the ACE inhibitor should be discontinued. The patient should be taught that if any swelling of the face or oral mucosa occurs, the health care provider should be immediately notified because this could be life threatening. The other patient statements indicate that the patient has an accurate understanding of ACE inhibitor therapy.
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