In order to promote therapeutic drug effects, the Nurse Practitioner should always encourage patients to - ANSWER take their medication at the prescribed times.
A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a sym...
the nurse practitioner should always encourage patients to
female patient with a diagnosis of type 1 d
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6521 Midterm
In order to promote therapeutic drug effects, the Nurse Practitioner should always
encourage patients to - ANSWER take their medication at the prescribed times.
A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing
increasing neuropathic pain in recent months, a symptom that has not responded
appreciably to conventional analgesics. The patient's care provider has begun treatment
with gabapentin (Neurontin). How is the addition of this drug likely to influence the
management of the patient's existing drug regimen? - ANSWER It is unlikely to
influence the patient's other medications because gabapentin does not interact with
other drugs.
of the following assessment findings should an assisted living facility has begun taking
daily oral Following an assessment by her primary care provider, a 70-year-old resident
of doses of levothyroxine. Which prompt the nurse to withhold a scheduled dose of
levothyroxine? - ANSWER The resident's apical heart rate is 112 beats/minute with a
regular rhythm
processes protects the lower respiratory system? - ANSWER Cilia sweep foreign
material and mucus upward toward the trachea and larynx where they can then be
swallowed.
A 62-year-old man has been prescribed lovastatin. The Nurse Practitioner will instruct
the patient to take the medication - ANSWER at bedtime.
A Nurse Practitioner who provides care for older adults is aware of the high incidence of
drug interactions in this population. When educating a group of seniors about the
prevention of drug interactions, the Nurse Practitioner should encourage them to -
ANSWER consult their care provider before taking new over-the-counter medications.
A Nurse Practitioner is teaching an older adult patient about polypharmacy. Which of
the following statements best describe this term? - ANSWER Taking several drugs
simultaneously
A diabetic patient being treated for obesity tells the Nurse Practitioner that he is having
adverse effects from his drug therapy. The patient has been taking dextroamphetamine
for 2 weeks as adjunct therapy. Which of the following adverse effects would need the
Nurse Practitioner's immediate attention? - ANSWER Increased blood glucose
A 22 year old patient is transitioning from oral agents to insulin. He will be taking 20
units of lantus at bedtime and regular insulin before meals. What instructions should the
NP provide about the timing and dose of regular insulin? - ANSWER Take 1 unit of
regular insulin for each 10 grams of carbohydrate to be consumed 15 minutes before
each meal
decongestants should not be used chronically (>5 days) because they can cause -
ANSWER rebound rhinitis/congestion
, 6521 Midterm
The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are
being taught about their son's medication regimen by the nurse. The nurse is currently
teaching the parent's about the appropriate use of a "rescue drug" for acute
exacerbations of their son's asthma. What drug should the nurse suggests the parents
to use in these situations? - ANSWER Albuterol
A 70-year-old woman with a history of atrial fibrillation takes digoxin and verapamil to
control her health problem. Verapamil achieves a therapeutic effect by - ANSWER
blocking adrenergic receptors and producing antisympathetic effects.
A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse
advise the patient to be most alert for a potential hypoglycemic reaction? - ANSWER
Late afternoon
A child with sinusitis has been on antibiotics for seven days and his symptoms are not
improving., All of the following are options to prescribe for the patient now EXCEPT: -
ANSWER Amoxicillin/clavulanic acid
The Nurse Practitioner's assessment of a community-dwelling adult suggests that the
client may have drug allergies that have not been previously documented. What
statement by the client would confirm this? - ANSWER "I broke out in hives and got
terribly itchy when I started a new prescription last year."
A homeless man who is well known to care providers at the local hospital has been
admitted to the emergency department after having a seizure outside a mall. The man is
known to be a heavy alcohol user and is malnourished with a very low body mass index.
How are this patient's characteristics likely to influence possible treatment with
phenytoin? - ANSWER The patient's protein deficit will likely increase the levels of the
free drug in his blood.
A patient has been prescribed a histamine-2 (H2) receptor antagonist for the treatment
of GERD. Why are H2RAS more effective than H1 receptor antagonists in the treatment
of diseases of the upper GI tract? - ANSWER The parietal cells of the stomach have H2
receptors but not H1 receptors.
A 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of
the following will be a priority assessment by the nurse before the patient's first dose? -
ANSWER The amount of alcohol consumption
In light of her recent high blood pressure readings, a patient has been started on a
thiazide diuretic and metoprolol (Lopressor), which is a beta-adrenergic blocker. What is
the most likely rationale for using two medications to address the patient's
hypertension? - ANSWER Using the two drugs to treat a health problem may create a
synergistic effect.
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