If a client on ramipril reports a dry cough, how should the nurse respond?

If a client on ramipril reports a dry cough, how should the nurse respond?

• A. Inform the client that the drug should be immediately discontinued.
• B. Inform the client that this is an adverse effect of the medication that may lead to pneumonitis.
• C. Explain why it will be necessary to obtain a sputum sample.
• D. Explain that drugs like ramipril often cause a cough.

Answer: (D)

When a client on ramipril reports a dry cough, it is important to understand that this cough is a known adverse effect of angiotensin-converting enzyme (ACE) inhibitors like ramipril. Explaining that drugs like ramipril often cause a cough helps the client understand that this side effect is not uncommon and occurs due to the accumulation of bradykinin, a substance that can result from ACE inhibition. This knowledge can help to alleviate any concerns the client may have by normalizing their experience and clarifying that it is a reaction associated with the medication. Furthermore, addressing the cough in such a way can open the door to further discussion about management options, whether that includes evaluating the severity of the cough, considering a change in medication if the cough is bothersome, or adjusting the treatment plan accordingly. By providing this context, the nurse fosters a therapeutic relationship and encourages the client to communicate any additional concerns about their treatment.

When a client on ramipril reports a dry cough, it is important to understand that this cough is a known adverse effect of angiotensin-converting enzyme (ACE) inhibitors like ramipril. Explaining that drugs like ramipril often cause a cough helps the client understand that this side effect is not uncommon and occurs due to the accumulation of bradykinin, a substance that can result from ACE inhibition. This knowledge can help to alleviate any concerns the client may have by normalizing their experience and clarifying that it is a reaction associated with the medication.

Furthermore, addressing the cough in such a way can open the door to further discussion about management options, whether that includes evaluating the severity of the cough, considering a change in medication if the cough is bothersome, or adjusting the treatment plan accordingly. By providing this context, the nurse fosters a therapeutic relationship and encourages the client to communicate any additional concerns about their treatment.