A young female patient is being treated for hypertension. The nurse would be most concerned if the patient became pregnant while taking which drug?
1. Enalapril (Vasotec)
2. Potassium supplement
3. Doxazosin (Cardura)
4. Hydrochlorothiazide (HCTZ)
1
Rationale 1: Enalapril is a Pregnancy Category D drug that has a higher fetal risk than do the other drugs listed.
Rationale 2: Potassium supplements are Pregnancy Category A drugs.
Rationale 3: Doxazosin (Cardura) is a Pregnancy Category B drug.
Rationale 4: HCTZ is a Pregnancy Category B drug.
Global Rationale: Enalapril is a Pregnancy Category D drug that has a higher fetal risk than do the other drugs listed. Potassium supplements are Pregnancy Category A drugs. Doxazosin (Cardura) and HCTZ are Pregnancy Category B drugs.
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