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A nurse is reviewing the medication administration record of a client who reports having a dry productive cough for the past 2 weeks. Which of the following medications should the nurse report to the provider?

a. Furosemide
b. Lisinopril
c. Diltiazem
d. Metoprolol

1 Answer

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Answer: b. Lisinopril

Explanation: Lisinopril is a medication used to treat diseases like high blood pressure. It is part of a group of medications called by its mechanism of action as ANGIOTENSIN-CONVERTING-ENZYME INHIBITORS (ACE inhibitors), along with Captopril, Cilazapril, Enalapril, Fosinopril, among others. One of the most common side effects is dry cough, that could appear since, one week after beginning the treatment or even six weeks later. The cough does not respond to any treatment, except if the medication is stopped.

The Furosemide, Diltiazem, and Metoprolol do not have dry cough described as a side effect. Furosemide: electrolyte disturbances (of calcium, magnesium, sodium). Diltiazem: Dizziness, headache, diarrhea. Metoprolol: Bradichardia, gastrointestinal symptoms.

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