The nurse is caring for a client who experienced a dry-non productive cough associated with an ACE inhibitor. Which of the following drugs is an alternative to ACE inhibitors?

losartan (Cozaar)

metoprolol (Lopressor)

furosemide (Lasix)

hydralazine HCL (Apresoline)

Answer and Explanation

The Correct Answer is A

A. Losartan is an angiotensin receptor blocker (ARB) that serves as an effective alternative to ACE inhibitors, particularly for patients who experience cough as a side effect.

B. Metoprolol is a beta-blocker, which is not a direct alternative to ACE inhibitors and is used for different indications such as heart rate and blood pressure control.

C. Furosemide is a diuretic that does not directly substitute for the actions of ACE inhibitors.

D. Hydralazine is a direct vasodilator used for hypertension but does not share the same mechanism as ACE inhibitors or serve as a direct alternative.

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Correct Answer is ["B","D","E"]

Explanation

A. Hypokalemia is not typically associated with ACE inhibitors like quinapril; rather, hyperkalemia (increased potassium levels) is a concern.

B. First dose phenomenon refers to significant hypotension that can occur after the first dose of an ACE inhibitor and should be monitored.

C. Hepatotoxicity is not a common side effect of ACE inhibitors.

D. A dry non-productive cough is a common side effect of ACE inhibitors, including quinapril.

E. Orthostatic hypotension can occur with ACE inhibitors, especially after the initial dose, making patient education important.

A. Hypokalemia and vomiting B. Dry, non productive cough C. Epistaxis and headache D. Nausea and vomiting

Correct Answer is B

Explanation

A. Hypokalemia can occur with some antihypertensives, but it is more associated with diuretics rather than ACE inhibitors. Vomiting is not a common side effect.

B. A dry, non-productive cough is a well-known side effect of ACE inhibitors, which the nurse should specifically assess for during follow-up.

C. Epistaxis (nosebleed) and headache are not common or specific side effects associated with ACE inhibitors.

D. Nausea and vomiting can occur with various medications, but they are not specifically indicative of ACE inhibitor use.

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The nurse is caring for a client who experienced a dry-non productive cough associated with an ACE inhibitor. Which of the following drugs is an alternative to ACE inhibitors?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a client on the possible side effects associated with quinapril (Accupril). Which of the following side effects are associated with this medication classification? (Select All that Apply)

Correct Answer is ["B","D","E"]

Explanation

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Correct Answer is B

Explanation

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