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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 C

Explanation

Choice A rationale

Expecting to have drowsiness while taking this medication is a common side effect of many seizure medications. However, it is not an indication of understanding the teaching about seizure medication management.

Choice B rationale

Taking an extra dose of the medication if a dose is missed is incorrect. Patients should not take an extra dose if they miss one. They should follow their healthcare provider’s instructions on what to do if a dose is missed.

Choice C rationale

Having blood checked to monitor the medication level indicates an understanding of the teaching. Monitoring blood levels of seizure medications is important to ensure therapeutic levels and avoid toxicity.

Choice D rationale

Taking the medication with an antacid to prevent indigestion is incorrect. Antacids can interfere with the absorption of some seizure medications.

Correct Answer is B

Explanation

Choice A rationale

Weight gain is not a common side effect of pramlintide. Monitoring for hypoglycemia is more critical.

Choice B rationale

Pramlintide can cause hypoglycemia, especially within 3 hours after administration. Monitoring for hypoglycemia is essential.

Choice C rationale

Pramlintide should be injected into the abdomen or thigh, not the upper arm.

Choice D rationale

Pramlintide should be administered immediately before a meal, not 30 minutes prior.

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