MSN 611 Quiz 2 (with 100% correct answers)

The primary care NP sees a 68 yer old male having difficulty initiating urine stream and urine frequency. Pt has no significant past medical history and vitals at visit are as follows: BP 112/72, HR 70, Temp 98.7 F. Which of the following is most appropriate to treat the pts' current symptoms? correct answers Tamsulosin A patient who has been taking propranolol for 6 months reporting having nocturnal cough and SOB. The primary care NP should: correct answers tell the patient to stop taking the medication. JW is a patient at your clinic started on several new medications during first clinic visit two months ago. Pt reports feeling up and down emotionally for the past month with little interest in socializing. Medical hx: xxxxxxx Vitals today: xxxxxxxxx Current medication list: simvastatin, clonidine 0.1 every 8 hours, hydrochlorothiazide, etc pt has another appt in a month but is inquiring abot a med to help with mood at his visit. Which of the following is the best intervention at this time? correct answers decrease clonidine to 0.1 mg every 12 hours for 4 days then discontinue A pt who will begin using nitroglycerin for angina asks the primary care NP how the medication works to relieve the pain. The NP should tell the pt that nitroglycerin acts to: correct answers relax vascular smooth muscle A primary care NP prescribes nitroglycerin transdermal patch 0.4 mg/hour release, for a pt with chronic stable angina describing sxs occurring mostly in the evening. The NP should teach the pt to: correct answers apply patch at 8 pm and remove at 6 am daily A pt who has heart failure has been treated with furosemide and an ACE inhibitor. The pts' cardiologist has added digoxin to the pts' med regimen. The primary care NP who cares for this pt should expect to monitor: correct answers serum electrolytes A pt is seen in a clinic and you question choice of beta blocker pt is receiving post MI. Pt is receiving atenolol. Which of the following would support use of this beta blocker? correct answers atenolol may prevent post MI arrhythmia Which of the following would be recommended to lower a triglyceride value of 220mg/dL, assuming all other lipid values are WNL? correct answers gemfibrozil A pt who is taking an ACE inhibitor sees the primary care NP for a follow-up visit. The pt reports having a persistent cough. The NP should: correct answers consider changing the med to an ARB Which of the following meds is contraindicated n a pt with bilateral renal artery stenosis? correct answers ramipril