A patient has heart failure and is taking an ACE inhibitor. The patient has developed fibrotic changes in the heart and vessels. The nurse expects the provider to order which medication to counter this development?
A) Aldosterone antagonist
B) Angiotensin II receptor blocker (ARB)
C) Beta blocker
D) Direct renin inhibitor (DRI)

Question

Quizplus · Accepted Answer

Aldosterone antagonists are added to therapy for patients with worsening symptoms of HF. Aldosterone promotes myocardial remodeling and myocardial fibrosis, so aldosterone antagonists can help with this symptom. ARBs are given for patients who do not tolerate ACE inhibitors. Beta blockers do not prevent fibrotic changes. DRIs are not widely used.

A Patient Has Heart Failure and Is Taking an ACE