MN553 Final Exam Questions and Answers (Graded A+)

MN553 Final Exam Questions and Answers (Graded A+) A potentially life-threatening adverse response to angiotensin-converting enzyme inhibitors is angioedema. Which of the following statements is true about this adverse response? Question options: A. Swelling of the tongue or hoarseness are the most common symptoms. B. It appears to be related to the decrease in aldosterone production. C. Presence of a dry, hacky cough indicates a high risk for this adverse response. D. Because it takes time to build up a blood level, it occurs after being on the drug for about 1 week. -Answer-A. Swelling of the tongue or hoarseness are the most common symptoms. Jamison has been prescribed citalopram (Celexa) to treat his depression. Education regarding how quickly selective serotonin reuptake inhibitor (SSRI) antidepressants work would be: Question options: A. Appetite and concentration improve in the first 1 to 2 weeks. B. Sleep should improve almost immediately upon starting citalopram. C. Full response to the SSRI may take 2 to 4 months after he reaches the full therapeutic dose. D. His dysphoric mood will improve in 1 to 2 weeks. -Answer-A. Appetite and concentration improve in the first 1 to 2 weeks. Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking allopurinol includes:Question options: A. Complete blood count B. Blood glucose C. C-reactive protein D. BUN, creatinine, and creatinine clearance -Answer-D. BUN, creatinine, and creatinine clearance When a pharmacoeconomic analysis looks at two or more treatment alternatives that are considered equal in efficacy and compares the costs of each it is referred to as: Question options: A. Cost-minimization analysis B. Cost-of-illness analysis C. Cost-effectiveness analysis D. Cost-benefit analysis -Answer-A. Cost-minimization analysis Being competent in the use of information technology in clinical practice is expected in professional nurses. Advanced practice competence includes the ability to: Question options: A. Search for information using the most common search engines B. Serve as content experts in developing, implementing, and evaluating information C. Systems Write programs to assure the integrity of health information D. Use information technology to prescribe drugs -Answer-B. Serve as content experts in developing, implementing, and evaluating information Instructions for the use of nicotine gum include: Question options: A. Chew the gum quickly to get a peak effect. B. The gum should be "parked" in the buccal space between chewing. C. Acidic drinks such as coffee help with the absorption of the nicotine. D. The highest abstinence rates occur if the patient chews the gum when he or she is having cravings. -Answer-B. The gum should be "parked" in the buccal space between chewing. A laboratory result indicates that the peak level for a drug is above the minimum toxic concentration. This means that the: Question options: A. Concentration will produce therapeutic effects B. Concentration will produce an adverse response C. Time between doses must be shortened D. Duration of action of the drug is too long -Answer-B. Concentration will produce an adverse response An acceptable first-line treatment for peptic ulcer disease with positive H. pylori test is: Question options: A. Histamine2 receptor antagonists for 4 to 8 weeks B. Proton pump inhibitor bid for 12 weeks until healing is complete C. Proton pump inhibitor bid plus clarithromycin plus amoxicillin for 14 days D. Proton pump inhibitor bid and levofloxacin for 14 days -Answer-C. Proton pump inhibitor bid plus clarithromycin plus amoxicillin for 14 days Alterations in drug metabolism among Asians may lead to: Question options: A. Slower metabolism of antidepressants, requiring lower doses B. Faster metabolism of neuroleptics, requiring higher doses C. Altered metabolism of omeprazole, requiring higher doses D. Slower metabolism of alcohol, requiring higher doses -Answer-A. Slower metabolism of antidepressants, requiring lower doses Patients who are prescribed exogenous androgens need to be warned that decreased libido: Question options: A. Is an unusual side effect of androgens and should be reported to the provider B. Is treated with increased doses of androgens, so the patient should let the provider know if he is having problems C. May be a sign of early prostate cancer and he should make an appointment for a prostate screening exam D. May occur with androgen therapy -Answer-D. May occur with androgen therapy A woman who is pregnant and has hyperthyroidism is bes