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CMN 574 Exam Questions and Answers 100% Solved

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CMN 574 Exam Questions and Answers 100% Solved A female patient, currently at 26 weeks gestation, has experienced a slow rise of her blood pressure over the past 2 weeks. Her urine specimen is negative for protein. She has reduced her sodium intake and has begun a walking program. The patient'...

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  • October 31, 2024
  • 73
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CMN 574
  • CMN 574
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CMN 574 Exam Questions and Answers

100% Solved


A female patient, currently at 26 weeks gestation, has experienced a slow

rise of her blood pressure over the past 2 weeks. Her urine specimen is

negative for protein. She has reduced her sodium intake and has begun a

walking program. The patient's blood pressure today is 155/102, which is

consistent with her readings at home. Associated symptoms include a dull

headache. The nurse practitioner's best response is:



a. "Try yoga and meditation to decrease your blood pressure."

b. Start the patient on methyldopa 250 mg po twice daily.

c. "Monitor your blood pressure at home and call the office if you have

swelling or a pounding headache."

d. Start the patient on metoprolol 100mg po twice daily. - ✔✔*b. Start the

patient on methyldopa 250 mg po twice daily.

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
Rationale: Methyldopa has the longest record of safety at a starting dosage

of 250 mg po bid or tid. Therapy with beta blockers or calcium channel

blockers is also acceptable. (Papadakis& McPhee, 2015. P. 801.)

Metoprolol is a Category C medication and 100 mg po bid is not the lowest

possible starting dose. The initiation of anti-hypertensive therapy in

pregnant women is indicated if the sustained blood pressure is > 150/100

or if there is evidence of end-organ damage (Papadakis &McPhee, 2015, p.

801)

Resistant hypertension may be caused by which of the following?



a. NSAIDs

b. Oral Contraceptives

c. Obesity

d. All of the above - ✔✔*d. All of the above




Rationale: JNC 7 defines resistant hypertension as the inability to control

blood pressure in those patients who are compliant with the appropriate

three-drug regimen, including a diuretic. Causes of resistant hypertension

listed in table 11-11 include nonadherence, NSAIDs, oral contraceptives,

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
adrenal steroids, licorice, obesity, and excessive alcohol intake (Sutters,

2015, p.458-459).

Cholesterol medication that works by obstructing the absorption of

cholesterol by blocking the passage of cholesterol across the intestinal wall

through the inhibition of a cholesterol transporter is ?



a. Statins

b. Fibric Acid

c. Ezetimibe

d. Bile Acid - ✔✔*c. Ezetimibe (Zetia) [Cholesterol absorption inhibitor]




Rationale: "Ezetimibe is the lipid lower drug that works by inhibiting the

intestinal absorption of biliary and dietary cholesterol by blocking passage

across the intestinal wall by inhibiting a cholesterol transporter. Statins

block the rate-limiting enzyme in the formation of cholesterol. Fibrates are

peroxisome proliferative-activated receptor-alpha agonists that results in

potent reductions of plasms triglycerides and increases in HDL. Bile acids

work by binding bile acid in the intestine" (Baron, 2015).

, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
A 2 year girl arrives to your clinic with a history of a fever for 7 days,

cervical lymphadenopathy, edema and desquamation of extremities,

bilateral, non-exudative conjunctivitis, and polymorphous exanthema. You

correctly diagnose the girl with :



a. Rheumatic fever

b. Kawasaki disease

c. Lyme disease

d. Infective endocarditis - ✔✔*b. Kawasaki disease




Rationale: The diagnostic criteria for Kawasaki disease are fever that lasts

for greater than 5 days and at least 4 of the following other manifestations:

(1) cervical lymphadenopathy, usually unilateral and great than or equal to

1.5 cm in diameter, (2) extremity changes (redness and swelling of the

hands and feet with subsequent desquamation), (3) polymorphous

exanthema, (4) oral cavity or lip changes, (such as strawberry tongues,

fissuring and cracking, and inflammation of the oral mucosa), and (5)

painless, bilateral, non-exudative conjunctivitis. Rheumatic fever consists of

2 major criteria such as carditis, erythema marginatum, Sydenham chorea,

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