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A nurse is caring for a client who has hypertension and nephropathy due to type 2 diabetes mellitus. The nurse should expect to administer which of the following medications to slow the progression of the nephropathy?

A.

Sitagliptin.

B.

Glipizide.

C.

Metoprolol.

D.

Losartan.

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

Sitagliptin is a DPP-4 inhibitor used to manage blood sugar levels in type 2 diabetes but does not specifically slow the progression of nephropathy.

 

Choice B rationale

 

Glipizide is a sulfonylurea that helps control blood sugar levels but does not have a direct effect on slowing nephropathy progression.

 

Choice C rationale

 

Metoprolol is a beta-blocker used to manage hypertension but does not specifically target nephropathy progression.

 

Choice D rationale

 

Losartan is an angiotensin II receptor blocker (ARB) that helps manage hypertension and has been shown to slow the progression of nephropathy in patients with type 2 diabetes.


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View Related questions

Correct Answer is B

Explanation

Choice A rationale

Dependent edema is not a common adverse effect of gemfibrozil. It is more commonly associated with other conditions such as heart failure.

Choice B rationale

Muscle tenderness is a known adverse effect of gemfibrozil. It can indicate myopathy or rhabdomyolysis, which are serious conditions that require medical attention.

Choice C rationale

Tremors are not a common adverse effect of gemfibrozil. They are more commonly associated with neurological conditions or other medications.

Choice D rationale

Hyperkalemia is not a common adverse effect of gemfibrozil. It is more commonly associated with medications that affect renal function or potassium balance. .

Correct Answer is C

Explanation

Choice A rationale

Metoclopramide is not used to suppress cough. It is primarily used to treat nausea, vomiting, and gastroparesis.

Choice B rationale

Metoclopramide does not have a primary effect on muscle relaxation. Its main action is to increase gastrointestinal motility.

Choice C rationale

Reduced nausea is a primary outcome for evaluating the effectiveness of metoclopramide. It is commonly prescribed to manage nausea and vomiting.

Choice D rationale

Metoclopramide is not typically used to decrease pain. Its primary indications are related to gastrointestinal symptoms.

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