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MN 553 Unit 7 Quiz with complete verified solutions
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MN 553 Unit 7 Quiz with complete verified solutions
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MN 553 Unit 7 Quiz withcomplete verified solutions
Ray has been diagnosed with hypertension and an angiotensin-
converting enzyme inhibitor is determined to be needed. Prior to
prescribing this drug, the NP should assess for:
A.) Hypokalemia
B.) Impotence
C.) Decreased renal function
D.) Inability to concentrate - answer Decreased renal function
Which of the following create a higher risk for digoxin toxicity? Both
the cause and the reason for it must be correct.
A.) Older adults because of reduced renal function
B.) Administration of aldosterone antagonist diuretics because of
decreased potassium levels
C.) Taking an antacid for gastroesophageal reflux disease because it
increases the absorption of digoxin
D.) Doses between 0.25 and 0.5 mg/day - answer Older adults
because of reduced renal function
Juanita had a deep vein thrombosis (DVT) and was on heparin in the
hospital and was discharged on warfarin. She asks her primary care
provider NP why she was getting both medications while in the
hospital. The best response is to:
, A.) Contact the hospitalist as this is not the normal guideline for
prescribing these two medications and she may have had a more
complicated case.
B.) Explain that warfarin is often started while a patient is still on
heparin because warfarin takes a few days to reach effectiveness.
C.) Encourage the patient to contact the Customer Service
department at the hospital as this was most likely a medication
error during her admission.
D.) Draw anticoagulation studies to make sure she does not have
dangerously high bleeding times. - answer Explain that warfarin is
often started while a patient is still on heparin because warfarin
takes a few days to reach effectiveness.
Robert, age 51 years, has been told by his primary care provider
(PCP) to take an aspirin a day. Why would this be recommended?
A.) He has arthritis and this will help with the inflammation and
pain.
B.) Aspirin has anti-platelet activity and prevents clots that cause
heart attacks.
C.)Aspirin acidifies the urine and he needs this for prostrate health.
D.) He has a history of GI bleed, and one aspirin a day is a safe
dosage. - answer Aspirin has anti-platelet activity and prevents
clots that cause heart attacks.
Education of patients who are taking warfarin includes discussing
their diet. Instructions include:
A.) Avoiding all vitamin K-containing foods
B.) Avoiding high-vitamin K-containing foods
C.) Increasing intake of iron-containing foods
D.) Making sure they eat 35 grams of fiber daily - answer Avoiding
high-vitamin K-containing foods
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