A patient with a history of type 2 diabetes has a serum creatinine level of 1.4 mg/dL and a random urine sample that shows +4 for protein.What medication does the nurse anticipate will be prescribed for this patient?
A)Diltiazem (Cardizem, Tiazac)
B)Glipizide (Glucotrol)
C)Hydrochlorothiazide (HydroDIURIL, Microzide)
D)Losartan (Cozaar)

Question

Quizplus · Accepted Answer

Losartan (Cozaar) is an angiotensin receptor blocker (ARB) that is often prescribed for patients with diabetes and proteinuria to decrease the progression of renal disease. It helps to lower blood pressure and reduce proteinuria by blocking the action of angiotensin II, which can cause constriction of blood vessels and increase blood pressure. Diltiazem (Cardizem, Tiazac) is a calcium channel blocker that is used to treat hypertension and angina but does not have a specific indication for proteinuria in diabetes. Glipizide (Glucotrol) is a Type 2 diabetes medication that helps lower blood glucose levels by stimulating insulin release from the pancreas but does not have effects on proteinuria. Hydrochlorothiazide (HydroDIURIL, Microzide) is a diuretic that is used to treat hypertension and fluid retention but may not be the best choice for patients with diabetes who have proteinuria since it can increase the risk of electrolyte imbalances.

A Patient with a History of Type 2 Diabetes Has