Angiotensin inhibitors like Vasotec (enalapril):

Choice A reason: Smoking impacts liver, not kidney excretion speed primarily. Liver metabolism accelerates instead. This choice errors per nursing pharmacology. It’s universally distinct, targeting the wrong organ for effect.

Choice B reason: Smoking induces liver enzymes, speeding drug metabolism significantly. This aligns with nursing pharmacology standards. It’s universally recognized, distinctly affecting drug efficacy and dosing needs.

Choice C reason: Smoking hastens, not slows, liver drug metabolism typically. This choice reverses nursing pharmacology facts. It’s universally distinct, contradicting known metabolic effects of smoking.

Choice D reason: Kidney excretion isn’t slowed by smoking; liver speeds metabolism. This choice misaligns with nursing standards. It’s universally distinct, errors in organ and effect direction.

Choice A reason: Tachycardia doesn’t dictate dose increases; orthostasis is the concern. Slow movement prevents falls, per nursing standards. This misaligns universally, distinctly missing antihypertensive safety teaching.

Choice B reason: BP checks every 8 hours aren’t standard; slow positioning addresses hypotension. This overcomplicates, per nursing pharmacology. It’s universally distinct, not routine discharge advice.

Choice C reason: Slow position changes prevent orthostatic hypotension, common with antihypertensives. This ensures safety, per nursing standards. It’s universally recognized, distinctly critical for patient education on these drugs.

Choice D reason: Tyramine relates to MAOIs, not typical antihypertensives. Slow movement fits, per nursing pharmacology. This errors universally, distinctly irrelevant to standard antihypertensive precautions.