A client with a history of heart failure and hypertension is in the clinic for a follow-up visit.The client is on lisinopril (Prinivil)and warfarin (Coumadin).The client reports new-onset cough.What action by the nurse is most appropriate?

Question

Quizplus · Accepted Answer

This client could be having an exacerbation of heart failure or be experiencing a side effect of lisinopril (and other angiotensin-converting enzyme inhibitors).The nurse should assess the client's lung sounds and other signs of oxygenation first.The client may or may not need to switch antihypertensive medications.Vital signs and documentation are important,but the nurse should assess the respiratory system first.If the cough turns out to be a side effect,reminding the client is appropriate,but then more action needs to be taken.

A Client with a History of Heart Failure and Hypertension