Exam (elaborations)
2-NR 508 WEEK 4 MIDTERM Exam 2020 (Set-2) , Chamberlain college of Nursing.
- Course
- Institution
2-NR 508 WEEK 4 MIDTERM Exam 2020 (Set-2) , Chamberlain college of Nursing.
[Show more]
Seller
Follow
newsolutions
Reviews received
Content preview
2-NR 508 WEEK 4 MIDTERM Exam 2020 (Set-2) , Chamberlain college ofNursing.
NR 508 Week 4 Midterm Exam, Chamberlain college of Nursing
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
,2-NR 508 WEEK 4 MIDTERM Exam 2020 (Set-2) , Chamberlain college of
Nursing.
pts
,2-NR 508 WEEK 4 MIDTERM Exam 2020 (Set-2) , Chamberlain college of
Nursing.
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.
, 2-NR 508 WEEK 4 MIDTERM Exam 2020 (Set-2) , Chamberlain college of
Nursing.
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!
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 newsolutions. 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.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83637 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now