A patient who has type 2 diabetes is seen by a primary care NP for a physical examination. The NP notes a blood pressure of 140/95 mm Hg on three occasions. A urinalysis reveals macroalbuminuria. The patient's serum creatinine is 1.9 mg/dL
Adhering to evidence-based practice, the NP should prescribe: a. losartan (Cozaar).
b. captopril (Capoten).
c. enalapril maleate (Vasotec).
d. fosinopril sodium (Monopril).
A
In patients with type 2 diabetes, hypertension, macroalbuminuria, and renal insufficiency (serum creatinine >1.5 mg/dL), ARBs have been shown to delay the progression of nephropathy. Losartan is an ARB. The other medications are ACE inhibitors.
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a. problem solving c. critical thinking b. metacognition d. learning style
A client diagnosed with schizophrenia spectrum disorder states, "Can't you hear him? It's the devil. He's telling me I'm going to hell." Which is the most appropriate nursing response?
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A client at a health care facility has been prescribed diazoxide for hypoglycemia due to hyperinsulinism. After administration, the nurse would assess the client for which adverse reaction?
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