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NR508 Pharm Midterm Exam Study Guide Solutions A primary care NP prescribes levothyroxine for a patient to treat thyroid deficiency. When teaching this patient about the medication, the NP should: - ANSWER-tell the patient that changing brands of the medication should be avoided. Patients shou...

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  • November 4, 2024
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  • 2024/2025
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©KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024




NR508 Pharm Midterm Exam Study Guide

Solutions


A primary care NP prescribes levothyroxine for a patient to treat thyroid deficiency. When teaching this

patient about the medication, the NP should: - ANSWER✔✔-tell the patient that changing brands of the

medication should be avoided.




Patients should be told not to change brands of the medication; there is potential variability in the

bioequivalence between manufacturers. The medication should be taken at approximately the same

time each day before breakfast or on an empty stomach. Patients should be instructed to contact the

provider if signs of thyrotoxicosis are present. Thyroid replacement medications are usually given for life.


An African-American patient is taking captopril (Capoten) 25 mg twice daily. When performing a physical

examination, the primary care nurse practitioner (NP) learns that the patient continues to have blood

pressure readings of 135/90 mm Hg. The NP should: - ANSWER✔✔-add a thiazide diuretic to this

patient's regimen




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Some African-American patients do not appear to respond as well as whites in terms of blood pressure

reduction. The addition of a low-dose thiazide diuretic often allows for efficacy in blood pressure

lowering that is comparable with that seen in white patients. Increasing the captopril dose is not

indicated. Losartan is an angiotensin receptor blocker (ARB) and is not indicated in this case.


A primary care NP sees a patient who is about to take a cruise and reports having had motion sickness

with nausea on a previous cruise. The NP prescribes the scopolamine transdermal patch and should

instruct the patient to apply the patch: - ANSWER✔✔-every 3 days.




The transdermal system allows steady-state plasma levels of scopolamine to be reached rapidly and

maintained for 3 days. The onset of action is approximately 4 hours. The patch should be changed every

3 days and left on at all times, not as needed


A 12-year-old patient who is obese develops type 2 diabetes mellitus. The primary care NP should order -

ANSWER✔✔-metformin (Glucophage).




Metformin is the only drug listed that is recommended for children




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, ©KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024




A patient who has had four to five liquid stools per day for 4 days is seen by the primary care NP. The

patient asks about medications to stop the diarrhea. The NP tells the patient that antidiarrheal

medications are: - ANSWER✔✔-not curative and may prolong the illness




Treatment of patients with acute diarrhea with antidiarrheals can prolong infection and should be

avoided if possible. Antidiarrheals are best used in patients with mild to moderate diarrhea and are used

for comfort and not cure. They should not be used for patients with bloody diarrhea or high fever

because they can worsen the disease. Prolonged diarrhea can indicate a more serious cause, and

antidiarrheals should not be used in those cases.


In every state, prescriptive authority for NPs includes the ability to write prescriptions - ANSWER✔✔-for

specified classifications of medications.




All states now have some degree of prescriptive authority granted to NPs, but not all states allow

authority to prescribe controlled substances. Many states still require some degree of physician

involvement with certain types of drugs.


A 55-year-old woman has a history of myocardial infarction (MI). A lipid profile reveals LDL of 130 mg/dL,

HDL of 35 mg/dL, and triglycerides 150 mg/dL. The woman is sedentary with a body mass index of 26.

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