A patient who stops taking an ACE inhibitor because of its side ...

[lak]

A patient who stops taking an ACE inhibitor because of its side effects will begin taking an angiotensin II receptor blocker (ARB) medication. Which side effect of ACE inhibitors will not occur with an ARB medication?
 
  a. Angioedema
  b. Cancer
  c. Cough
  d. Renal failure

Question 2

A female patient who is not taking any other medications is prescribed aliskiren (Tekturna), a direct renin inhibitor (DRI). The nurse reviews medication information with the patient.
 
  Which statement by the patient indicates understanding of the teaching?
  a. If I get pregnant, I should stop taking this drug by the second trimester.
  b. If I take this drug with a high-fat meal, it will be more effective.
  c. I should restrict my potassium intake while taking this drug.
  d. I should take this medication 1 hour before sitting down to a meal.

[CAPTAINAMERICA]

Answer to Question 1

ANS: C
ARBs do not promote the accumulation of bradykinin in the lungs and do not induce cough. Angioedema may occur with ARBs, but the incidence is lower than with ACE inhibitors. An increased risk of cancer may be a concern with ARBs but is not a concern with ACE inhibitors. As with ACE inhibitors, renal failure can occur in patients with bilateral renal artery stenosis or stenosis in the artery to a single remaining kidney.

Answer to Question 2

ANS: D
DRIs should be taken on an empty stomach to improve their bioavailability. Patients should not take this drug when pregnant and should stop immediately upon finding out they are pregnant. Dosing with a high-fat meal reduces the drug's bioavailability. DRIs rarely cause hyperkalemia when taken alone.

[lak]

Excellent

[samiel-sayed]

TYSM