مريض سكري عنده ألبومين في البول وضغطه ١٤٢/٨٨. أي دواء يُفضل غالباً لحماية الكلى؟

A diabetic client has albuminuria and BP 142/88. Which drug is usually preferred to protect the kidneys?

1. An ACE inhibitor or ARB
2. A calcium channel blocker alone
3. A thiazide diuretic alone
4. A beta-blocker alone

Answer: A) An ACE inhibitor or ARB. ACE inhibitors or ARBs reduce proteinuria and slow diabetic kidney disease, with potassium and creatinine monitoring; SGLT2 inhibitors also help.