NR 508 Midterm Exam 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 (ANS- 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:
(ANS- obtain a digoxin level before pt takes another dose
drug cost of therapy include (ANS- pain and 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:
(ANS- admit for IV re-hydration
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:
(ANS- ask Pt to bring all vitamin bottles to clinic appointment
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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:
(ANS- 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:
(ANS- 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:
(ANS- add an angiotensin-converting enzyme inhibitor
abrupt withdrawal of beta blockers can be life threatening. Patient at highest risk for consequences of rapid withdrawal are those with (ANS- angina and coronary artery disease
Carbamazepine has a black box warning due to life-threatening (ANS- dermatological reaction, including stevens johnson and toxic epidermal necrolysis
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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?(ANS- decrease the dosage by 75%
for phenytoin hypersensitiviey syndrome 3-8 weeks after starting treatment (ANS- 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
(ANS- 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:
(ANS- plan to use estrogen-progesterone therapy when menopause begins.
A laboratory result indicates that the peak level for a drug is above the minimum toxic concentration. This means that the (ANS- concentration will produce an adverse response
Long term monitoring of patients who are taking carbamazepine includes (ANS- complete blood count every 3-4 months
Bethanechol (Urecholine) (ANS- increases detrusor muscle tone to empty the bladder
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