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Test 3 questions NP ASSESMENT Chamberlain College Nursing - Question and answers rated A+
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Test 3 questions NP ASSESMENT Chamberlain College Nursing - Question and answers rated A+ Select the hemoglobin or hematocrit normal range for a 37-year-old male patient. hematocrit 44% A patient with impaired renal function is to receive dofetilide (tikosyn) for conversion of atrial fibrilla...

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  • August 16, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • test 3 questions
  • test 3 questions np assesment chamberlain college
  • test 3 questions np assesment chamberlain college

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Test 3 questions
Select the hemoglobin or hematocrit normal range for a 37-year-old male
patient.
hematocrit 44%




A patient with impaired renal function is to receive dofetilide (tikosyn) for
conversion of atrial fibrillation. what is the nurse practitioner's priority
assessment before administering the drug:
check the patients creatinine level




Which of the following BP regimens would be a goal for most heart failure
patients
Carvedilol 25mg BID




select the target hemoglobin concentration for chronic kidney disease patients
receiving epoetin alpha and darb epoetin alpha:
11




what assessment finding would indicate the patient's left sided heart failure is
worsening
increase crackles in lung fields

, the nurse practitioner has prescribed a beta blocker to an asthmatic patient.
the patient should be assessed for what potential adverse reaction:
bronchospasm




which of the following will be the best agent for treatment of DVT in a patient
with heparin induced thrombocytopenia (HIT)
Argatroban or Refludan




AF is a 63-year-old woman with HF (NYHA class I) receiving furosemide 40
mg twice daily, lisinopril 10 mg daily, metoprolol succinate 50 mg daily,
digoxin 0.125 mg daily, and spironolactone 25 mg daily. During a routine clinic
visit today, pertinent findings include BP 120/80 mm Hg, HR 70 beats/min, RR
14 rpm, K+ 5.1 mmol/L, BUN 35 mg/dL, creatinine 1.2 mg/dL (baseline), and
serum digoxin concentration 0.7 ng/mL (obtained at 0800, last dose on
previous day at 0900). Which of the following is the most appropriate change
to optimize AF's medical regimen? Select all that apply.


A. Increase ACE inhibitor dose
B. Increase β-blocker dose
C. Increase digoxin dose
D. Increase spironolactone dose
B. Increase β-blocker dose


For heart failure management, ACE inhibitor and β-blocker therapy should be
titrated to target doses demonstrated in clinical trials to improve outcomes.
This patient has adequate blood pressure to increase either therapy. In
addition, heart rate is adequate to further titrate β-blocker. Uptitration of β-
blocker therapy is the safest medication change for this patient.

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