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. Warfarin B. Beta blockers C. Heparin D. rivaroxaban

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"D"}}

Explanation

Warfarin: Vitamin K is the primary reversal agent for anticoagulation with warfarin. It helps restore normal clotting factor production in the liver.

Heparin: Protamine sulfate is the specific reversal agent for heparin, neutralizing its anticoagulant effects.

Rivaroxaban: Andexanet alfa is a specific reversal agent for rivaroxaban and other Factor Xa inhibitors, reversing their anticoagulant effects.

Beta Blockers: While there is no specific reversal agent, glucagon can help increase heart rate and myocardial contractility in cases of beta-blocker overdose.

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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

A charge nurse is teaching a group of nurses about the antagonist action of reversal medications. For each medication listed below, click to specify the expected reversal agent.

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"D"}}

Explanation

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