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NR 508 midterm Exam Study Guide with Complete Solutions

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NR 508 midterm Exam Study Guide with Complete Solutions before prescribing phentermine a through drug history should be taken including for the use of sertonergic agents such as selective serotonin re uptake inhibitors (SSRI's) and St Johns wart due to - Answer️️ -risk of Serotonin syndrome ...

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  • August 28, 2024
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©SOPHIABENNETT@2024-2025 Sunday, August 18, 2024 6:00 PM


NR 508 midterm Exam Study Guide with Complete Solutions

before prescribing phentermine a through drug history should be taken including

for the use of sertonergic agents such as selective serotonin re uptake inhibitors

(SSRI's) and St Johns wart due to - Answer✔️✔️-risk of Serotonin syndrome


A primary care NP sees a patient who is being treated for heart failure with

digoxin, a loop diuretic, and an ACE inhibitor. The patient reports having nausea.

The NP notes a heart rate of 60 beats per minute and a blood pressure of 100/60

mm Hg. The NP should: - Answer✔️✔️-obtain a digoxin level before pt takes

another dose


drug cost of therapy include - Answer✔️✔️-pain an suffering due to inadequate drug

therapy

A patient is in the clinic complaining of nausea and vomiting that has lasted 2 to 3

days. The patient has dry oral mucous membranes, a blood pressure of 90/56 mm

Hg, a pulse of 96 beats per minute, and a temperature of 38.8° C. The primary care

NP notes a capillary refill of greater than 3 seconds. The NP should: - Answer✔️✔️-

admit for IV re-hydration




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,©SOPHIABENNETT@2024-2025 Sunday, August 18, 2024 6:00 PM

A primary care NP is performing a pre-visit health history on a new patient. The

patient reports taking vitamins every day. The NP should: - Answer✔️✔️-ask Pt to

bring all vitamin bottles to clinic apointment

A woman has severe IBS and takes hyoscyamine sulfate (Levsin), simethicone

(Phazyme), and a TCA. She reports having continued severe diarrhea. The primary

care NP should: - Answer✔️✔️-refer to a gastroenterology for endoscopy


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. pyloriis still present. The NP should order: - Answer✔️✔️-a

PPI, amoxocillin, and metronidazole for 14 days

The primary care NP sees a new patient who has diabetes and hypertension and has

been taking a thiazide diuretic for 6 months. The patient's blood pressure at the

beginning of treatment was 150/95 mm Hg. The blood pressure today is 138/85

mm Hg. The NP should: - Answer✔️✔️-add an angiotensin-converting enzyme

inhibitor




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, ©SOPHIABENNETT@2024-2025 Sunday, August 18, 2024 6:00 PM

abrupt withdrawal of beta blockers can be life threatening. Patient at highest risk

for consequences of rapid withdrawal are those with - Answer✔️✔️-angina and

coronary artery disease


Carbamazepine has a black box warning due to life-threatening - Answer✔️✔️-

dermatological reaction, including stevens johnson and toxic epidermal necrolysis

Richard is 70 years old and has a history of cardiac dysrhythmias. He has been

prescribed nadolol. You do his annual laboratory work and find a CrCl of 25

ml/min. What action should you take related to his nadolol? - Answer✔️✔️-decrease

the dosage by 75%

for phenytoin hypersensitiviey syndrome 3-8 weeks after starting treatment -

Answer✔️✔️-Your patient is being prescribed phenytoin for seizures. monitoring

includes assessing

A patient developed a rash after using a topical medication. This is a type _____

allergic drug reaction - Answer✔️✔️-IV


A 50-year-old woman with a family history of CHD is experiencing occasional hot

flashes and is having periods every 3 to 4 months. She asks the primary care NP

about HT to relieve her symptoms. The NP should: - Answer✔️✔️-plan to use

estrogen-progesterone therapy when menopause begins.

Page 3 of 22

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