NR 508 Midterm Exam, Chamberlain college of Nursing, NR 508 Week 4 Quiz-Midterm (Version 5), Verified And Correct Answers
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NR 508 Midterm Exam, Chamberlain college of Nursing, NR 508 Week 4 Quiz-Midterm (Version 5), Verified And Correct Answers
NR 508 Week 4 Midterm Exam, Chamberlain college of Nursing
Question 1
A primary care NP prescribes levothyroxine for a patient to treat thyroid deficiency. When teaching ...
NR 508 Week 4 Midterm Exam, Chamberlain
college of Nursing
Question 1
A primary care NP prescribes levothyroxine for a patient to treat thyroid
deficiency. When teaching this patient about the medication, the NP
should:
Answer:
tell the patient that changing brands of the medication should be
avoided.
Explanation:Patients should be told not to change brands of the
medication; there is potential variability in the bioequivalence between
manufacturers. The medication should be taken at approximately the
same time each day before breakfast or on an empty stomach. Patients
should be instructed to contact the provider if signs of thyrotoxicosis are
present. Thyroid replacement medications are usually given for life.
Question 2
An African-American patient is taking captopril (Capoten) 25 mg twice
daily. When performing a physical examination, the primary care nurse
practitioner (NP) learns that the patient continues to have blood pressure
readings of 135/90 mm Hg. The NP should:
Answer:add a thiazide diuretic to this patient's regimen
Some African-American patients do not appear to respond as well as
,whites in terms of blood pressure reduction. The addition of a low-dose
thiazide diuretic often allows for efficacy in blood pressure lowering that
is comparable with that seen in white patients. Increasing the captopril
dose is not indicated. Losartan is an angiotensin receptor blocker (ARB)
and is not indicated in this case.
Question 3
A primary care NP sees a patient who is about to take a cruise and
reports having had motion sickness with nausea on a previous cruise.
The NP prescribes the scopolamine transdermal patch and should
instruct the patient to apply the patch:
every 3 days.
The transdermal system allows steady-state plasma levels of
scopolamine to be reached rapidly and maintained for 3 days. The onset
of action is approximately 4 hours. The patch should be changed every 3
days and left on at all times, not as needed
Question 4
A 12-year-old patient who is obese develops type 2 diabetes mellitus.
The primary care NP should order
metformin (Glucophage).
Metformin is the only drug listed that is recommended for children
Question 5
, A patient who has had four to five liquid stools per day for 4 days is
seen by the primary care NP. The patient asks about medications to stop
the diarrhea. The NP tells the patient that antidiarrheal medications are:
not curative and may prolong the illness
Treatment of patients with acute diarrhea with antidiarrheals can prolong
infection and should be avoided if possible. Antidiarrheals are best used
in patients with mild to moderate diarrhea and are used for comfort and
not cure. They should not be used for patients with bloody diarrhea or
high fever because they can worsen the disease. Prolonged diarrhea can
indicate a more serious cause, and antidiarrheals should not be used in
those cases.
Question 6
In every state, prescriptive authority for NPs includes the ability to write
prescriptions
for specified classifications of medications.
All states now have some degree of prescriptive authority granted to
NPs, but not all states allow authority to prescribe controlled substances.
Many states still require some degree of physician involvement with
certain types of drugs.
Question 7
A 55-year-old woman has a history of myocardial infarction (MI). A
lipid profile reveals LDL of 130 mg/dL, HDL of 35 mg/dL, and
triglycerides 150 mg/dL. The woman is sedentary with a body mass
index of 26. The woman asks the primary care NP about using a statin
medication. The NP should:
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