version 1 nr 508 midterm exam nr508 week 4 midterm exam nr 508 week 4 midterm exam chamberlain college of nursing |100 correct answers
download to score “a”
Written for
Chamberlain College Of Nursing
NR508 / NR 508
All documents for this subject (69)
Seller
Follow
NURSINGEXPERT
Reviews received
Content preview
1
,Question 4: A patient who will undergo surgery in implant a biosynthetic heart valve asks the
primary care NP whether any medications will be necessary postoperatively. The NP should tell
the patient that it will be necessary to take:
a. daily low-dose aspirin for 1 year.
b. heparin injections as needed based on activated partial thromboplastin time levels.
c. lifelong warfarin combined with enoxaparin as needed.
d. warfarin for 3 months postoperatively plus long-term aspirin.
Question 5: A patient has a BMI of 35, a fasting plasma glucose of 120 mg/dL, elevated
triglycerides, and a history of myocardial infarction. The primary care NP plans to initiate dietary
and lifestyle counseling and should consider prescribing:
a. ephedra.
b. orlistat (Xenical).
c. phentermine (Adipex-P).
d. phentermine and topiramate (Onexa).
Question 6: A patient who has severe arthritis and who takes nonsteroidal antiinflammatory
drugs (NSAIDs) daily develops a duodenal ulcer. The patient has tried a cyclooxygenase-2
selective NSAID in the past and states that it is not as effective as the current NSAID. The
primary care nurse practitioner (NP) should:
a. prescribe cimetidine (Tagamet).
b. prescribe omeprazole (Prilosec).
c. teach the patient about a bland diet.
d. change the NSAID to a corticosteroid.
, Question 7: A patient comes to the clinic reporting dizziness and fatigue associated with nausea
and vomiting. The primary care NP suspects anemia and orders a complete blood count. The
patient’s hemoglobin is elevated. The NP correctly concludes that the patient is not anemic. The
NP has made an error in:
a. context formulation.
b. inappropriate knowledge base.
c. cost-versus-benefit analysis.
d. hypothesis triggering and information processing.
Question 8: A patient who has diabetes is taking metformin 1000 mg daily. At a clinic visit, the
patient reports having abdominal pain and nausea. The primary care NP notes a heart rate of 92
beats per minute. The NP should:
a. obtain LFTs.
b. decrease the dose of metformin.
c. change metformin to glyburide.
d. order electrolytes, ketones, and serum glucose.
Question 9: An 80-year-old patient asks a primary care NP about OTC antacids for occasional
heartburn. The NP notes that the patient has a normal complete blood count and normal
electrolytes and a slight elevation in creatinine levels. The NP should recommend:
a. calcium carbonate (Tums).
b. aluminum hydroxide (Amphojel).
c. sodium bicarbonate (Alka-Seltzer).
d. magnesium hydroxide (Milk of Magnesia).
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 NURSINGEXPERT. 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.
