A client taking an ACE inhibitor develops a dry, nonproductive cough. What is the nurse's priority action?

• A. Call the health care provider to switch the medication.
• B. Assess the client for other symptoms of upper respiratory infection.
• C. Instruct the client to take antitussive medication until the symptoms subside.
• D. Tell the client that the cough will subside in a few days.

Answer: (A)

ACE inhibitors can cause a dry, nonproductive cough because of bradykinin buildup in the airways. When this adverse effect occurs, the priority action is to notify the health care provider so the medication can be changed to an alternative, such as an angiotensin receptor blocker, which provides similar blood pressure control without the cough. This cough is not a sign of infection and isn’t improved by antitussives, and it typically doesn’t resolve on its own without adjusting the therapy.