latest 2022 nr 508 week 2 quiz chamberlain college of nursing |100 correct answers
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Chamberlain College Of Nursing
NR508
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1
, T4 and elevated TSH. The NP should:
order a complete blood count (CBC) with differential.
order aspartate aminotransferase, AGT, and LDH tests.
decrease the dose of the medication.
add levothyroxine to the patient’s regimen.
Explanation: Once clinical levels of thyrotoxicosis have been resolved, elevated TSH
indicates a need to reduce the dosage. A CBC with differential is
performed at the beginning of treatment and when signs of infection are
present. Liver function tests may be monitored periodically but are not
indicated by the current laboratory results. Levothyroxine is not indicated.
Question 4. The primary care nurse practitioner (NP) sees a patient in the
clinic who has a blood pressure of 13085 mm Hg. The patient’s
laboratory tests reveal high-density lipoprotein, 35 mgdL;
triglycerides, 120 mgdL; and fasting plasma glucose, 100 mgdL.
The NP calculates a body mass index of 29. The patient has a
positive family history for cardiovascular disease. The NP
should:
prescribe a thiazide diuretic.
consider treatment with an angiotensin-converting enzyme
inhibitor.
reassure the patient that these findings are normal.
counsel the patient about dietary and lifestyle changes.
Explanation: The patient’s blood pressure indicates prehypertension, but the patient
does not have cardiovascular risk factors such as hyperlipidemia or
hyperinsulinemia. The body mass index indicates that the patient is
overweight but not obese. Pharmacologic treatment is not recommended
for prehypertension unless compelling reasons are present. The findings
are not normal, so it is appropriate to counsel the patient about diet and
exercise.
, Question 5. A 45-year-old patient who has a positive family history but no
personal history of coronary artery disease is seen by the
primary care NP for a physical examination. The patient has a
body mass index of 27 and a blood pressure of 13078 mm Hg.
Laboratory tests reveal low-density lipoprotein, 110 mgdL;
high-density lipoprotein, 70 mgdL; and triglycerides, 120 mgdL.
The patient does not smoke but has a sedentary lifestyle. The NP
should recommend:
30 minutes of aerobic exercise daily.
taking 81 to 325 mg of aspirin daily.
beginning therapy with a statin medication.
starting a thiazide diuretic to treat hypertension.
Explanation: This patient is overweight but not obese, and blood lipids are within
normal limits. Blood pressure is not elevated. Exercise is recommended as
an initial risk reduction strategy because of its positive effects on blood
pressure and blood lipids. Aspirin is generally given to patients older than
55 to 65 who are at risk. Statin medications and thiazide diuretics are not
indicated.
Question 6. A patient has three consecutive blood pressure readings of
14095 mm Hg. The patient’s body mass index is 24. A fasting
plasma glucose is 100 mgdL. Creatinine clearance and
cholesterol tests are normal. The primary care NP should order:
a -blocker.
an angiotensin-converting enzyme inhibitor.
a thiazide diuretic.
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