Free Trial #19

Question

The nurse is caring for a client with a new diagnosis of hypertension. The client also has a history of type 2 diabetes and microalbuminuria. Which drug therapy will the nurse anticipate for the client?

Answers

1. Nifedipine (Procardia).
   • Rationale:
2. Clonidine (Catapress).
   • Rationale:
3. Captopril (Capoten).
   • Rationale:
4. Verapimil (Calan).
   • Rationale:

Overview

Explanation

The correct answer is C. Captopril is an ACEI and preferred for reduction in macrovascular complications with type 2 diabetes because the medications reduce the deterioration of the glomerular filtration rate and albuminuria. ARBs may also be utilized. Selection B is incorrect since alpha-agonists are not considered as first line therapy and some may actually cause sodium retention and may not affect proteinuria. Selection A and Selection D are incorrect because Calcium channel blockers (verapimil) are not recommended as first line therapy for treating hypertension with diabetes and underlying kidney disease. CCBs are usually second-lie antihypertensive agents.

Learning Outcomes

Test Taking Tip

Video Rationale