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

Explanation

A. Daily weight monitoring is not specifically required with doxazosin and is more relevant for medications that may cause fluid retention or significant weight changes.

B. First-dose hypotension is a common and significant side effect of doxazosin, and advising the patient to lie down after the first dose helps mitigate the risk of dizziness and falls.

C. Impaired taste is not a known side effect of doxazosin, making this statement inaccurate.

D. While potassium intake is important for overall health, doxazosin does not typically require dietary potassium adjustments.

A. Anti-inflammatory properties B. Anti-pyretic C. Antiemetic D. Inhibits platelet aggregation

Correct Answer is D

Explanation

A. While aspirin has anti-inflammatory properties, this is not the primary reason it is prescribed after an MI.

B. Aspirin does not primarily function as an anti-pyretic in this context; its use is focused on cardiovascular benefits.

C. Aspirin does not have antiemetic properties and is not indicated for nausea control.

D. Inhibiting platelet aggregation is the key therapeutic effect of aspirin in preventing further clot formation, which is critical following an MI to reduce the risk of subsequent cardiovascular events.

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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

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