A patient who has type 2 diabetes is seen by a primary care NP for a physical examination.The NP notes a blood pressure of 140/95 mm Hg on three occasions.A urinalysis reveals macroalbuminuria.The patient's serum creatinine is 1.9 mg/dL.Adhering to evidence-based practice,the NP should prescribe:

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In patients with type 2 diabetes,hypertension,macroalbuminuria,and renal insufficiency (serum creatinine >1.5 mg/dL),ARBs have been shown to delay the progression of nephropathy.Losartan is an ARB.The other medications are ACE inhibitors.

A Patient Who Has Type 2 Diabetes Is Seen by a Primary