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    Pharmacology proctored exam (regular)

    The nurse is providing drug teaching for a client who is prescribed enalapril. What drug-specific adverse effect will the nurse include in the drug teaching?

    Explanation & Rationale

    A. Sedation: Sedation is not a common adverse effect of enalapril. While some antihypertensive medications, such as central alpha agonists, may cause sedation, enalapril, an ACE inhibitor, is not typically associated with this side effect. B. Persistent cough: A persistent dry cough is a well-known and common adverse effect of ACE inhibitors like enalapril. This occurs due to the accumulation of bradykinin, a peptide that is not broken down properly when ACE is inhibited. C. Diarrhea: Diarrhea is not a common adverse effect of enalapril. While gastrointestinal disturbances may occur with some medications, enalapril is more likely to cause issues like dizziness, hypotension, or a cough rather than gastrointestinal symptoms like diarrhea. D. Hepatic dysfunction: While hepatic dysfunction is a rare adverse effect of enalapril, it is not as common or prominent as the persistent cough. Routine monitoring of liver function is recommended, but it is not the most common side effect for most clients.

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