Final answer:
The client should report a persistent dry cough as an adverse effect of an ACE inhibitor to their healthcare provider. This is a well-known side effect resulting from the inhibition of the angiotensin-converting enzyme, often leading to an irritating cough. Diuretic effects, like increased urination, are not generally associated with ACE inhibitors but rather with drugs affecting the kidney's loop of Henle.
Step-by-step explanation:
The adverse effect of an ACE inhibitor that the client should report to the provider is a) Persistent dry cough. ACE inhibitors can cause side effects, and a persistent dry cough is a well-known adverse effect that may necessitate changing the medication. ACE inhibitors block the conversion of angiotensin I to angiotensin II, which not only lowers blood pressure but can also stimulate cough reflexes. This cough can become bothersome and is often a reason patients seek alternative therapy. It is important for patients to communicate with their healthcare provider if they experience this symptom.
Regarding the additional information provided in the context of a drug causing increased frequency of urination (polyuria), the description seems to be referring to a diuretic rather than an oliguric. Diuretics work by affecting various parts of the nephron, including the loop of Henle, where they inhibit the reabsorption of Na+ and Cl-, leading to increased urine production. While this can be an intended effect for conditions such as hypertension, it is crucial to distinguish this from the side effects associated with ACE inhibitors.