A patient who has been taking lisinopril (Zestril) for 2 weeks complains of a dry cough. What patient education should the nurse provide regarding this complaint?
a. The cough will subside within 5 to 7 days.
b. The cough is an adverse effect of the medication and may lead to angioedema.
c. Lisinopril also can have a hypotensive effect with the first dose.
d. The cough is a common side effect of the medication.
D
A cough occurs in 5% to 10% of patients taking ACE inhibitors and is due to the accumulation of bradykinin.
The cough will subside within 3 days of discontinuing the medication and should be totally ab-sent within 10 days of discontinuation.
The cough will not lead to angioedema.
The patient has been taking the medication for 2 weeks already, therefore it is too late to discuss the first-dose effect; that should have been done before the first dose of the medication was ad-ministered.
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