The nurse is caring for a client who takes ramipril to treat hypertension. The nurse would monitor the client for which potential complication?

A. Ineffective tissue perfusion: Ineffective tissue perfusion is not a common complication of ramipril. While ramipril lowers blood pressure, it is generally effective in improving perfusion by reducing hypertension, which helps prevent complications like stroke or heart failure. B. Acute headaches: Headaches are not a typical side effect of ramipril. While some antihypertensives can cause headaches due to changes in blood pressure, ramipril is not commonly associated with acute headaches. C. Unrelenting cough: A persistent dry cough is a well-known side effect of ACE inhibitors like ramipril. This occurs due to the accumulation of bradykinin, and if the cough becomes bothersome, the client may need to switch to an alternative medication, such as an ARB. D. Impaired body image: Impaired body image is not typically related to ramipril use. While some antihypertensive medications may cause physical changes, such as weight gain from fluid retention, this is not a common issue with ramipril.