A patient is being discharged from the hospital on enalapril (Vasotec), taken orally. A nurse is providing patient education about the medication. Which statement made by the patient demonstrates a need for further teaching?
a. "It is normal to have an unusual taste in my mouth."
b. "My cough will subside within 3 days of being on this medication."
c. "I will monitor my blood pressure daily and as needed."
d. "I should limit my use of ibuprofen (Motrin)."
ANS: B
A cough occurs in 5% to 10% of patients taking ACE inhibitors, and it does not subside until the medication is discontinued; this statement indicates a need for further teaching.
An unusual taste in the mouth may occur in patients taking enalapril; no further teaching is needed.
The patient should monitor the blood pressure; no further teaching is needed.
The patient should limit use of ibuprofen, because it may reduce the antihypertensive effects of ACE inhibitors; no further teaching is indicated.
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