A client with hypertension complains of a persistent dry cough. The practical nurse (PN) should side effect of which daily medication?
Explanation & Rationale
A. Clonidine: Clonidine, an alpha-2 agonist, can cause side effects such as drowsiness, dry mouth, and rebound hypertension if discontinued abruptly. A persistent dry cough is not commonly associated with clonidine. B. Quinapril: Quinapril is an ACE inhibitor, and a persistent dry cough is a well-known side effect due to accumulation of bradykinin in the respiratory tract. Clients taking ACE inhibitors should be monitored for this symptom, which may necessitate medication adjustment. C. Spironolactone: Spironolactone is a potassium-sparing diuretic. Common side effects include hyperkalemia, gynecomastia, and menstrual irregularities, but it is not typically associated with a persistent dry cough. D. Losartan: Losartan is an angiotensin receptor blocker (ARB) and generally does not cause cough. It is often prescribed as an alternative to ACE inhibitors for clients who experience cough.