The client begins taking enalapril (Vasotec) for hypertension. Which adverse effect should the nurse teach the client to expect while taking this medication?
1. Persistent cough
2. Rebound hypertension
3. Hyperkalemia
4. Hyperglycemia
Correct Answer: 1
Rationale 1: Adverse effects of ACE inhibitors are usually minor and include a persistent cough, particularly following the first few doses of the drug.
Rationale 2: Orthostatic hypotension, not rebound hypertension, is expected particularly following the first few doses of the drug.
Rationale 3: There is no indication that the client has any risk factors for hyperkalemia such as diabetes, renal impairment, or therapy with potassium-sparing diuretics.
Rationale 4: Hyperglycemia is not an adverse effect associated with ACE inhibitors.
Global Rationale: Adverse effects of ACE inhibitors are usually minor and include a persistent cough, particularly following the first few doses of the drug. Orthostatic hypotension, not rebound hypertension, is expected particularly following the first few doses of the drug. There is no indication that the client has any risk factors for hyperkalemia such as diabetes, renal impairment, or therapy with potassium-sparing diuretics. Hyperglycemia is not an adverse effect associated with ACE inhibitors.
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