Western Governors University (WGU) NURS5204 D027 Advanced Pathopharmacological Foundations Practice Exam

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What should not be combined with angiotensin II receptor blockers (ARBs)?
Correct Answer:
ACE inhibitors
Explanation:
Angiotensin II receptor blockers (ARBs) are used to manage hypertension and heart failure by inhibiting the effects of angiotensin II, leading to vasodilation and reduced blood pressure. Combining ARBs with ACE inhibitors is generally contraindicated due to the increased risk of severe hypotension, hyperkalemia, and renal impairment. Both classes of medication have similar effects in preventing the action of angiotensin II, thereby enhancing the potential for adverse effects when used together. In contrast, beta blockers, calcium channel blockers, and diuretics have distinct mechanisms of action and can often be used safely alongside ARBs to provide complementary effects in managing hypertension and heart failure. Thus, while these other medications may be used together with ARBs to augment therapeutic outcomes, the combination of ARBs with ACE inhibitors poses significant risks that outweigh potential benefits.

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