A client has a nighttime cough related to taking enalapril. What is the best nursing intervention to promote rest in this client?
1. Contact the physician for an order for a cough-suppressant medication
2. Have the client sleep on 2 or 3 pillows at night
3. Have the client sit up at an 80°angle in a comfortable chair at night
4. Contact the physician for an order for a sedative-hypnotic medication
2. Have the client sleep on 2 or 3 pillows a night
Rationale:
The client should sleep with the head elevated if a cough becomes troublesome when in supine position. A cough induced by an angiotensin-converting enzyme inhibitor- will not be relieved by cough medication. Sitting up at an 80°angle would be effective but would be too uncomfortable for the client. A sedative-hypnotic medication would put the client to sleep, but it does nothing to address the client's cough.
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