NR 508 WEEK 4 MIDTERM Exam 2020 (Set-2) | GRADED A
3 views 0 purchase
Course
NR 508 WEEK 4 MIDTERM Exam 2020
Institution
Chamberlain College Of Nursing
NR 508 WEEK 4 MIDTERM Exam 2020 (Set-2)
Question 1
2 / 2 pts
A patient is given a diagnosis of peptic ulcer disease. A laboratory test confirms the presence of Helicobacter pylori. The primary care NP orders a proton pump inhibitor (PPI) before meals twice daily, clarithromycin, and amoxicil...
nr 508 week 4 midterm exam 2020 set 2 question 1 2 2 pts a patient is given a diagnosis of peptic ulcer disease a laboratory test confirms the presence of helicobacter pylori the primary care
Written for
Chamberlain College Of Nursing
NR 508 WEEK 4 MIDTERM Exam 2020
All documents for this subject (5)
Seller
Follow
ACADEMICAIDSTORE
Reviews received
Content preview
NR 508 WEEK 4 MIDTERM Exam
2020 (Set-2)
Question 1
pts
A patient is given a diagnosis of peptic ulcer disease. A laboratory test confirms the presence of
Helicobacter pylori. The primary care NP orders a proton pump inhibitor (PPI) before meals twice daily,
clarithromycin, and amoxicillin. After 14 days of treatment, H. pylori is still present. The NP should
order:
continuation of the PPI for 4 to 8 weeks.
Correct!
a PPI, amoxicillin, and metronidazole for 14 days.
a PPI, clarithromycin, and amoxicillin for 14 more days.
a PPI, bismuth subsalicylate, tetracycline, and metronidazole.
A PPI, along with amoxicillin and metronidazole, is used as first-line treatment in macrolide-allergic
patients and for re-treatment for 14 days if first-line treatment of choice failed because of occasional
resistance to clarithromycin.
Question 2
pts
,A patient is newly diagnosed with type 2 diabetes mellitus. The primary care NP reviews this patient’s
laboratory tests and notes normal renal function, increased triglycerides, and deceased HDL levels. The
NP should prescribe:
nateglinide (Starlix).
glyburide (Micronase).
colesevelam (Welchol).
Correct!
metformin (Glucophage).
Metformin is recommended as initial pharmacologic treatment for type 2 diabetes. It has been shown to
decrease triglycerides and LDLs.
Question 3
pts
The primary care NP is considering prescribing captopril (Capoten) for a patient. The NP learns that the
patient has decreased renal function and has renal artery stenosis in the right kidney. The NP should:
Correct!
initiate ACE inhibitor therapy at a low dose.
,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 drawn. LFTs are
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 ACADEMICAIDSTORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
