A nurse is caring for a client who takes lisinopril for hypertension. Which of the following client statements indicates an adverse effect of the medication?

Rationale: A. "I have to urinate frequently.": Increased urination is not typically associated with lisinopril, an ACE inhibitor. Frequent urination is more characteristic of diuretics or conditions such as uncontrolled diabetes mellitus, rather than an adverse effect of lisinopril therapy. B. "I have a heightened sense of taste.": Altered taste perception, including a metallic taste, is a less common side effect of some medications, but a heightened sense of taste is not recognized as a known adverse effect of lisinopril. C. "I seem to be bruising more easily.": Easy bruising is generally related to anticoagulant or antiplatelet therapy, liver dysfunction, or platelet disorders. Lisinopril does not typically affect coagulation or platelet function, so this is unlikely to be related to the medication. D. "I have a nagging, dry cough.": A persistent, dry cough is a well-documented adverse effect of ACE inhibitors like lisinopril. It occurs due to accumulation of bradykinin and substance P in the respiratory tract. Clients often report it as bothersome, and it may require evaluation for discontinuation or substitution with another antihypertensive class.