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Question ⬇

Physiological Integrity

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33. A nurse instructs a client about taking an angiotensin-converting enzyme (ACE). The client should be warned to continue therapy even when which common side effect occurs?

Choices

Choices ⬆ ⬇

1. A dry, persistent cough.

2. Exacerbation of heart failure.

3. Sedation.

4. Urinary incontinence.

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

The question focuses on what is an "OK" side effect so that the drug doesn't have to be stopped. Three of the choices have the potential to incapacitate the client.

Content Area: Adult Health, Cardiovascular; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Adverse Effects/Contraindications/Interactions

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Rationale ⬆

Physiological Integrity

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1.  

Answer 1 is correct because a dry cough might be annoying, but would not place the client at increased risk for injury or debilitation. Answer 2 is incorrect because progression of heart failure would not be an acceptable side effect. Answer 3 is incorrect because sedation would be an unsafe consequence of the drug. Answer 4 is incorrect because incontinence would not be an acceptable side effect for an adult.

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