Nurses' Note 1430: Rashida, a 58-year-old woman, is seen in the outpatient cardiology clinic for a routine follow-up. She was started on lisinopril 10 mg daily 3 weeks ago for hypertension. She reports her blood pressure has been well controlled at home. Today she mentions a new, persistent dry cough that started about 10 days ago. She denies fever, rhinorrhea, or recent illness. SpO2 is 98% on room air, HR 72 bpm, BP 128/76 mmHg. Lung sounds are clear bilaterally. She has no history of asthma or reactive airway disease. Which explanation should the nurse provide regarding the most likely cause of this client's cough?
- The cough likely reflects undiagnosed asthma that was triggered by starting a new antihypertensive.
- The cough is caused by beta-receptor blockade reducing bronchodilation in the airways.
- The cough is caused by fluid accumulation in the lungs due to inadequate blood pressure control.
- The cough is a known adverse effect of ACE inhibitors related to bradykinin accumulation in the airways.