version 1 nr 508 week 4 midterm exam nr508 midterm exam nr 508 midterm exam chamberlain college of nursing |100 correct answers
download to score “a”|
Written for
Chamberlain College Of Nursing
NR508 / NR 508
All documents for this subject (69)
Seller
Follow
NURSINGEXPERT
Reviews received
Content preview
1
,2
,consider a different drug class to treat this patient’s symptoms.
give the captopril with a thiazide diuretic to improve renal function.
orderlisinopril (Zestril) instead of captopril to avoid increased nephropathy.
Patients with impaired renal function should use low-dose ACE inhibitors. It is not necessary to
avoid ACE inhibitors with unilateral renal stenosis.
Question 4
pts
A woman who has been taking a COCP for 2 months tells the primary care NP that she has had
several headaches, breakthrough bleeding, and nausea. The NP should counsel the woman:
to change to a progestin-only pill.
to stop taking the COCP immediately.
to use a backup form of contraception.
Correct!
that these effects will likely decrease in another month.
, Breakthrough bleeding, nausea, and headaches are common during the first 3 months of therapy
and should improve without intervention. Progestin-only pills are used for lactating women only.
Prolonged bleeding and severe headache would warrant discontinuation of the COCP. Backup
contraception is not indicated.
Question 5
pts
A patient who has hyperlipidemia has been taking atorvastatin (Lipitor) 60 mg daily for 6
months. The patient’s initial lipid profile showed LDL of 180 mg/dL, HDL of 45 mg/dL, and
triglycerides of 160 mg/dL. The primary care NP orders a lipid profile today that shows LDL of
105 mg/dL, HDL of 50 mg/dL, and triglycerides of 120 mg/dL. The patient reports muscle pain
and weakness. The NP should:
order liver function tests (LFTs).
Correct!
order a creatine kinase-MM (CK-MM) level.
change atorvastatin to twice-daily dosing.
add gemfibrozil (Lopid) to the patient’s medication regimen.
Hepatotoxicity and muscle toxicity are the two primary adverse effects of greatest concern with
statin use. Patients who report muscle discomfort or weakness should have a CK-MM level
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller NURSINGEXPERT. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.49. You're not tied to anything after your purchase.
