A nurse is teaching a client about a medication that has a receptor with an antagonist effect.
Which information should the nurse include in the teaching?

Choice A rationale

Losartan is an angiotensin II receptor blocker (ARB) that helps lower blood pressure by relaxing blood vessels. It is often prescribed for clients who cannot tolerate angiotensin-converting enzyme (ACE) inhibitors like Captopril or Lisinopril due to side effects such as a persistent cough.

Choice B rationale

Digoxin is a medication primarily used to treat heart failure and atrial fibrillation. It is not typically prescribed for the management of hypertension as it does not directly lower blood pressure.

Choice C rationale

Captopril is an ACE inhibitor that can cause a persistent cough in some patients. Since the client has experienced this side effect, it is unlikely that Captopril would be prescribed again.

Choice D rationale

Lisinopril is another ACE inhibitor, similar to Captopril. Given the client's history of a cough caused by ACE inhibitors, Lisinopril is also not a suitable option.

Choice A rationale

While metformin is commonly used as a first-line medication for type 2 diabetes, this choice does not specifically address a critical safety concern related to metformin.

Choice B rationale

Metformin can interact with contrast dyes used in imaging studies, increasing the risk of acute renal failure due to lactic acidosis. Patients need to be aware of this interaction to avoid potential complications.

Choice C rationale

Metformin is used to lower blood glucose levels, not increase them. This choice is incorrect.

Choice D rationale

While metformin is associated with less weight gain compared to other diabetes medications, this choice does not address the critical interaction with contrast dye.